Spontaneous rupture of adult Wilms’ tumor: A case report and review of the literature

Authors

  • Jian-lin Huang Sichuan Academy of Medical Sciences &Sichuan Provincial People’s Hospital
  • Yong Liao
  • Ming-xing Qiu

DOI:

https://doi.org/10.5489/cuaj.2539

Keywords:

Adult Wilms’ tumor, nephroblastoma, Spontaneous rupture

Abstract

Wilms’ tumour is rare in adults, and spontaneous rupture with retroperitoneal hemorrhage as the presenting sign of renal tumour is also uncommon. We present a case of a 20-year-old woman with spontaneous rupture of Wilms’ tumour by describing the course of diagnosis and treatment. The patient underwent an open left radical nephrectomy, and was treated with 18 weeks of adjuvant chemotherapy with vincristine and actinomycin D. The follow-up of 12 months demonstrated no recurrence. We also reviewed the limited number of related reports. These suggest that the preoperative diagnosis of adult Wilms’ tumour is very difficult, and radical nephrectomy and postoperative comprehensive therapy are equally important in the treatment of these patients. Factors of prognosis for adults with Wilms’ tumour include tumour stage, histopathology, and time and type of therapy.

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Author Biography

Jian-lin Huang, Sichuan Academy of Medical Sciences &Sichuan Provincial People’s Hospital

Department of Urology

Medical Doctor

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Published

2015-07-17

How to Cite

Huang, J.- lin, Liao, Y., & Qiu, M.- xing. (2015). Spontaneous rupture of adult Wilms’ tumor: A case report and review of the literature. Canadian Urological Association Journal, 9(7-8), E531–4. https://doi.org/10.5489/cuaj.2539

Issue

Vol. 9 No. 7-8 (2015): CUAJ July

Section

Case Report

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