Wilms' tumor in the crossed ectopic kidney

Berant, Moshe; Jacob, Erwin T.; Pevzner, S

doi:10.1016/0022-3468(75)90206-7

Cited by 9 publications

(1 citation statement)

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“…In the literature review, Berant et al, in 1975, reported the first case of Wilms tumor in the crossed ectopic kidney, which was diagnosed with the help of intravenous pyelography and successfully treated by excisional biopsy and chemoradiation. [7] In the second case of Wilms tumor in crossed fused renal ectopia reported by Redman in 1977, excretory urography demonstrated crossed renal ectopia, and aortography confirmed the presence of a tumor on the right side of the abdomen. [8] With the advancement of a multidisciplinary team approach, the survival rate for Wilms tumor approaches 90%.…”

Section: Discussionmentioning

confidence: 99%

Association of Wilms Tumor with Crossed Fused Renal Ectopia in Children: A Case Report

Ali,

Latif,

Sheikh

et al. 2023

J Cancer Allied Spec

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Introduction: Wilms tumor is the most common renal malignancy in children. The occurrence of Wilms tumor with various congenital genitourinary anomalies has been reported, particularly in horseshoe kidneys, hypospadias, disorder of sexual development, and double collecting system. However, Wilms tumor with crossed renal ectopia is a rare finding. Case Description: We are reporting a case report of Wilms tumor in a 3-year-old girl who presented with a huge left flank mass with cross-fused renal ectopia. After the initial workup and triphasic computed tomography (CT) scan of the chest, abdomen, and pelvis for confirmation of diagnosis and metastasis, the patient underwent image-guided tissue biopsy followed by neo-adjuvant chemotherapy, left radical nephrectomy with separation of fused right ectopic renal moiety and adjuvant chemoradiation. Practical Implication: This report shows an association of Wilms tumor with cross-fused renal ectopia, a rare combination. Unusual findings on imaging with unilateral flank mass should be considered as part of the differential diagnosis for this rare finding. Adjuvant chemotherapy and modern imaging helped delineate the anatomy and ease the surgery for safe resection, improving the overall outcome.

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Section: Discussionmentioning

confidence: 99%