[Unusual presentation of nephroblastomatosis]

Arch Pediatr. 1998 Jun;5(6):627-32. doi: 10.1016/s0929-693x(98)80166-8.
[Article in French]

Abstract

Background: Nephrogenic rests generally constitute precursor lesions of Wilms' tumor. We report a case of right nephroblastomatosis with dysmorphic features.

Case report: An enlargement of the right kidney was incidentally discovered in a 1-year-old girl with dysmorphic features but normal psychomotor development. Combined ultrasonography and computerized tomography (CT) scan showed right cortical nephroblastomatosis. Chemotherapy using actinomycin D and vincristin was successful; however, an hyperechogenic nodule was subsequently found, necessitating a right nephrectomy.

Conclusion: The relationship between nephroblastomatosis and Wilms' tumor is discussed. This case report reminds us of the importance of a long-term follow-up including echography and CT scan in cases of nephroblastomatosis.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Female
  • Humans
  • Infant
  • Kidney Neoplasms / diagnosis*
  • Kidney Neoplasms / diagnostic imaging
  • Kidney Neoplasms / therapy
  • Nephrectomy
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Wilms Tumor / diagnosis*
  • Wilms Tumor / diagnostic imaging
  • Wilms Tumor / therapy