Wilms Tumor With Metastasis to the Vagina: A Case Report

Adam S. Howe, Bradley A. Morganstern, Heather Appelbaum, Sandeep Mehta, Lane S. Palmer

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

A 12-year-old female presented with abdominal pain, night sweats, weight loss, constipation, dysmenorrhea, menorrhagia, and vaginal discharge. Examination revealed a palpable flank mass and a large tumor adherent to the anterior vaginal wall. Computed tomography scan demonstrated a 23 cm mass in the left kidney, a separate 10.8 cm pelvic mass, and metastatic disease. Biopsies were consistent with Wilms tumor. Neoadjuvant chemotherapy and a left radical nephrectomy were performed for her stage IV disease as the kidney was amiable to complete resection. The patient received radiation and resumed chemotherapy. She was doing well with improved symptoms at follow-up.

Original languageEnglish (US)
Pages (from-to)151-153
Number of pages3
JournalUrology
Volume101
DOIs
StatePublished - Mar 1 2017
Externally publishedYes

ASJC Scopus subject areas

  • Urology

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