Document Detail


WAGR syndrome--a case report.
MedLine Citation:
PMID:  20405644     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congenital anomaly syndrome consisting of Wilms tumor, aniridia, genitourinary malformations and mental retardation (WAGR) is a rare, sporadic genetic disorder characterized by a de novo deletion in the distal band of 11p13 chromosome. The syndrome is usually recognized by sporadic aniridia present at birth, often followed by the development of Wilms tumor in early childhood, but possible at any age. Genetic testing using fluorescence in situ hybridization (FISH) is the method of choice to detect specific deletions. The multidisciplinary approach in medical treatment not only of the tumor, but of a large variety of clinical features and possible complications is highly demanding and challenging. We report on a boy born with aniridia, cryptorchidism and facial dysmorphism recognized as WAGR syndrome in neonatal period, subsequently confirmed by genetic testing. Wilms tumor developed at the age of one year. Surgical treatment and chemotherapy resulted in complete remission for almost six years now. However, an increased risk of late post-treatment complications and development of de novo tumor in the contralateral kidney is a permanent threat. Therefore, ongoing oncologic follow up along with ophthalmologic and neurologic treatment and psychological support are a lifelong necessity.
Authors:
Mirta Starcevi?; Marina Mataija
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta clinica Croatica     Volume:  48     ISSN:  0353-9466     ISO Abbreviation:  Acta Clin Croat     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2010-04-21     Completed Date:  2010-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425483     Medline TA:  Acta Clin Croat     Country:  Croatia    
Other Details:
Languages:  eng     Pagination:  455-9     Citation Subset:  IM    
Affiliation:
University Department of Pediatrics, Sestre milosrdnice University Hospital, Zagreb, Croatia. mirta_ps@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Child, Preschool
Humans
Infant
Infant, Newborn
Male
WAGR Syndrome / diagnosis*

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