Wilms' tumor, or nephroblastoma, is a rare pediatric kidney cancer that poses significant challenges, particularly in bilateral cases where preserving kidney function is critical. A 3-year-old girl presented with tumors in both kidneys, detected via ultrasonography and further evaluated with computed tomography (CT), revealing masses measuring 9.5 × 10 × 11 cm in the right kidney and 10 × 11 × 13.5 cm in the left. After ten weeks of chemotherapy with vincristine, dactinomycin, and doxorubicin, she underwent laparoscopic partial nephrectomy of the left kidney and excision of three tumors from the right-—histopathological analysis confirmed stage 5 intermediate-risk Wilms' tumor. Postoperatively, systemic adjuvant chemotherapy was administered, and routine follow-up evaluations confirmed no tumor recurrence and stable kidney function. This case underscores the complexity of treating bilateral Wilms' tumor and highlights the need for a delicate balance between aggressive oncologic treatment and the preservation of essential organ function.

العنوان

American Journal of Medical Case Reports

الناشر

open acess

بلد الناشر

الولايات المتحدة الأمريكية

نوع المنشور

مطبوع فقط

المجلد

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السنة

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