Document Detail


Adult Wilms' tumor associated with polycythemia--a case report.
MedLine Citation:
PMID:  11416958     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Both Wilms' tumor (nephroblastoma) in adults and polycythemia in Wilms' tumor are rare. Herein we report an extremely rare case of adult Wilms' tumor associated with polycythemia. A 41-year-old female was incidentally found to have right renal mass by abdominal sonography in a routine health examination. Laboratory examination revealed polycythemia (hemoglobin 20.2 g/dL). Although physical examination was unremarkable, CT scan revealed an homogeneous mass at the middle pole of right kidney, and chest x-ray revealed no metastatic lesions. Right radical nephrectomy was performed smoothly. Grossly, the tumor of 5 x 4.5 x 4.5 cm in size was well circumscribed, and had no vascular structure or collecting system involvement. Microscopic features were consistent with adult nephroblastoma. The post-operative course was uneventful. At follow-up, the patient was well, showed no evidence of recurrence and her hemoglobin level had returned to normal (hemoglobin 14.5 g/dl). We suggest that the relationship between polycythemia and Wilms' tumor should be carefully evaluated before surgical treatment.
Authors:
C W Chen; S P Huang; Y C Li; Y H Chou; C H Huang
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Kaohsiung journal of medical sciences     Volume:  17     ISSN:  1607-551X     ISO Abbreviation:  Kaohsiung J. Med. Sci.     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-06-21     Completed Date:  2001-07-05     Revised Date:  2006-08-28    
Medline Journal Info:
Nlm Unique ID:  100960562     Medline TA:  Kaohsiung J Med Sci     Country:  China (Republic: 1949- )    
Other Details:
Languages:  eng     Pagination:  107-11     Citation Subset:  IM    
Affiliation:
Department of Urology, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Kidney Neoplasms / complications*
Polycythemia / complications*
Wilms Tumor / complications*

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