Wilms tumor, the most common kidney tumor in children, is rarely seen in adults, making it a challenge for the adult oncologist to diagnose and treat. Unlike with renal cell carcinoma, patients with Wilms tumor should receive adjuvant chemotherapy with or without radiation therapy. Adult oncologists may not be familiar with pediatric oncology protocols, so it is important to consult with pediatric oncologists who have more experience in this disease. Multimodal therapy based on pediatric protocols improved the outcomes of adults with Wilms tumor worldwide. We report a rare case of a 24-year-old woman with a slow-growing mass of the left kidney during a 4-year period. The mass was surgically removed and final diagnosis confirmed by pathology to be Wilms tumor. The patient received adjuvant chemotherapy and has been free of disease since 2014.
The Permanente journal. 2016 Mar 25 [Epub ahead of print]
Fade Mahmoud, M Brandon Allen, Roni Cox, Rodney Davis
Assistant Professor of Medicine in the Department of Hematology and Oncology at the University of Arkansas for Medical Sciences in Little Rock. ., Pathologist at the University of Arkansas for Medical Sciences in Little Rock. ., Assistant Professor of Medicine in the Department of Pathology at the University of Arkansas for Medical Sciences in Little Rock. ., Chair of the Department of Urology at the University of Arkansas for Medical Sciences in Little Rock. .