TY - JOUR
T1 - Wilms Tumor With Metastasis to the Vagina
T2 - A Case Report
AU - Howe, Adam S.
AU - Morganstern, Bradley A.
AU - Appelbaum, Heather
AU - Mehta, Sandeep
AU - Palmer, Lane S.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85009747706&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85009747706&partnerID=8YFLogxK
U2 - 10.1016/j.urology.2016.12.040
DO - 10.1016/j.urology.2016.12.040
M3 - Article
C2 - 28040504
AN - SCOPUS:85009747706
SN - 0090-4295
VL - 101
SP - 151
EP - 153
JO - Urology
JF - Urology
ER -