Wilms' tumour with spinal cord involvement

Spinal cord involvement of Wilms' tumour is rare. A 14-year-old girl presented with an abdominal mass, paraplegia and loss of bladder and bowel control. Radiological investigations confirmed the presence of a large intraabdominal mass with infiltration into the spinal canal with impingement of...

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Main Authors: Jeff John, Alessandro Pietro Aldera
Format: Article
Language:English
Published: Elsevier 2022-07-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442022001073
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author Jeff John
Alessandro Pietro Aldera
author_facet Jeff John
Alessandro Pietro Aldera
author_sort Jeff John
collection DOAJ
description Spinal cord involvement of Wilms' tumour is rare. A 14-year-old girl presented with an abdominal mass, paraplegia and loss of bladder and bowel control. Radiological investigations confirmed the presence of a large intraabdominal mass with infiltration into the spinal canal with impingement of nerve roots and the spinal cord. Histopathological evaluation demonstrated a nephroblastoma. It was decided to commence prompt neoadjuvant chemotherapy to render the tumour amenable to surgical resection. The patient unfortunately demised before receiving her first dose. Early diagnosis and timeous initiation of treatment is critical in limiting morbidity and mortality associated with malignant spinal cord compression.
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spelling doaj.art-815ca4024b4f4c9d9b4759b22c8a43822022-12-22T02:29:18ZengElsevierUrology Case Reports2214-44202022-07-0143102095Wilms' tumour with spinal cord involvementJeff John0Alessandro Pietro Aldera1Division of Urology, Department of Surgery, Frere Hospital and Walter Sisulu University, East London, South Africa; Division of Urology, Department of Surgery, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa; Corresponding author. Division of Urology, Department of Surgery, Frere Hospital and Walter Sisulu University, East London, South Africa.JDW Pathology Inc, Cape Town, South Africa; Division of Anatomical Pathology, University of Cape Town, Cape Town, South AfricaSpinal cord involvement of Wilms' tumour is rare. A 14-year-old girl presented with an abdominal mass, paraplegia and loss of bladder and bowel control. Radiological investigations confirmed the presence of a large intraabdominal mass with infiltration into the spinal canal with impingement of nerve roots and the spinal cord. Histopathological evaluation demonstrated a nephroblastoma. It was decided to commence prompt neoadjuvant chemotherapy to render the tumour amenable to surgical resection. The patient unfortunately demised before receiving her first dose. Early diagnosis and timeous initiation of treatment is critical in limiting morbidity and mortality associated with malignant spinal cord compression.http://www.sciencedirect.com/science/article/pii/S2214442022001073Wilms tumourNephroblastomaRenal massChildhood tumoursSpinal cord compression
spellingShingle Jeff John
Alessandro Pietro Aldera
Wilms' tumour with spinal cord involvement
Urology Case Reports
Wilms tumour
Nephroblastoma
Renal mass
Childhood tumours
Spinal cord compression
title Wilms' tumour with spinal cord involvement
title_full Wilms' tumour with spinal cord involvement
title_fullStr Wilms' tumour with spinal cord involvement
title_full_unstemmed Wilms' tumour with spinal cord involvement
title_short Wilms' tumour with spinal cord involvement
title_sort wilms tumour with spinal cord involvement
topic Wilms tumour
Nephroblastoma
Renal mass
Childhood tumours
Spinal cord compression
url http://www.sciencedirect.com/science/article/pii/S2214442022001073
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