Nephroblastoma in Older Adult: Case Report and Review of Literature

Introduction: Nephroblastoma, or Wilms’ tumor, is a malignant renal neoplasm commonly found in children, is extremely rare in adults representing only 0.5% of all renal neoplasms. Adult Wilms tumor is rare, to our knowledge fewer than 300 cases have been reported in the English literature to date. H...

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Main Authors: Ricardo Fernández-Ferreira, Jose Manuel Torres-Zazueta, César Martínez-Medrano, Adrián Meléndez-Mendoza, Sonia Tavares-García, María Alejandra Muñoz Rubiano, Gredel Portela-Rubio, Julieta Robles-Castro, Jorge Alberto Robles-Aviña, Jose Manuel Ruiz Morales
Format: Article
Language:English
Published: Karger Publishers 2024-07-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://beta.karger.com/Article/FullText/540279
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author Ricardo Fernández-Ferreira
Jose Manuel Torres-Zazueta
César Martínez-Medrano
Adrián Meléndez-Mendoza
Sonia Tavares-García
María Alejandra Muñoz Rubiano
Gredel Portela-Rubio
Julieta Robles-Castro
Jorge Alberto Robles-Aviña
Jose Manuel Ruiz Morales
author_facet Ricardo Fernández-Ferreira
Jose Manuel Torres-Zazueta
César Martínez-Medrano
Adrián Meléndez-Mendoza
Sonia Tavares-García
María Alejandra Muñoz Rubiano
Gredel Portela-Rubio
Julieta Robles-Castro
Jorge Alberto Robles-Aviña
Jose Manuel Ruiz Morales
author_sort Ricardo Fernández-Ferreira
collection DOAJ
description Introduction: Nephroblastoma, or Wilms’ tumor, is a malignant renal neoplasm commonly found in children, is extremely rare in adults representing only 0.5% of all renal neoplasms. Adult Wilms tumor is rare, to our knowledge fewer than 300 cases have been reported in the English literature to date. However, in older adults after 60 years of age, only less than 45 cases have been reported. For this reason, treatment guidelines in adults still are lacking. Prognosis in nephroblastoma for adult patients is found to be worse than in children. Case Presentation: We report the case of a 65-year-old female with lumbar fossa mass, flank pain and hematuria, and pathologic diagnosis of Wilms tumor. We performed nephrectomy. No adjuvant treatment was given. Our patient remains asymptomatic and without evidence of recurrence 12 months after the surgery. Conclusion: Nephroblastoma in the elderly presents different clinical behavior and prognosis compared to nephroblastoma in children.
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spelling doaj.art-df919b0a49f648d789bc39725ee2702f2024-08-29T09:04:14ZengKarger PublishersCase Reports in Oncology1662-65752024-07-0117181883010.1159/000540279540279Nephroblastoma in Older Adult: Case Report and Review of LiteratureRicardo Fernández-Ferreira0Jose Manuel Torres-Zazueta1César Martínez-Medrano2Adrián Meléndez-Mendoza3Sonia Tavares-García4María Alejandra Muñoz Rubiano5Gredel Portela-Rubio6Julieta Robles-Castro7Jorge Alberto Robles-Aviña8Jose Manuel Ruiz Morales9https://orcid.org/0000-0003-3512-7776Oncology Medicine and Surgical Oncology Department. Central South High Specialty Hospital PEMEX, Mexico City, MexicoUrology Service, Centro Médico Nacional Siglo XXI, IMSS, Instituto Mexicano del Seguro Social, Mexico City, MexicoFaculty of Medicine, National Autonomous University of Mexico, Mexico City, MexicoFaculty of Medicine, National Autonomous University of Mexico, Mexico City, MexicoPatology Department. Centro Médico Nacional Siglo XXI, IMSS, Instituto Mexicano del Seguro Social, Mexico City, MexicoUrology Service, Centro Médico Nacional Siglo XXI, IMSS, Instituto Mexicano del Seguro Social, Mexico City, MexicoOncology Medicine and Surgical Oncology Department. Central South High Specialty Hospital PEMEX, Mexico City, MexicoOncology Medicine and Surgical Oncology Department. Central South High Specialty Hospital PEMEX, Mexico City, MexicoOncology Medicine and Surgical Oncology Department. Central South High Specialty Hospital PEMEX, Mexico City, MexicoOncology Medicine Department, Medica Sur Hospital, Mexico City, MexicoIntroduction: Nephroblastoma, or Wilms’ tumor, is a malignant renal neoplasm commonly found in children, is extremely rare in adults representing only 0.5% of all renal neoplasms. Adult Wilms tumor is rare, to our knowledge fewer than 300 cases have been reported in the English literature to date. However, in older adults after 60 years of age, only less than 45 cases have been reported. For this reason, treatment guidelines in adults still are lacking. Prognosis in nephroblastoma for adult patients is found to be worse than in children. Case Presentation: We report the case of a 65-year-old female with lumbar fossa mass, flank pain and hematuria, and pathologic diagnosis of Wilms tumor. We performed nephrectomy. No adjuvant treatment was given. Our patient remains asymptomatic and without evidence of recurrence 12 months after the surgery. Conclusion: Nephroblastoma in the elderly presents different clinical behavior and prognosis compared to nephroblastoma in children.https://beta.karger.com/Article/FullText/540279nephroblastomawilms’ tumormetanephric blastemanephrectomyrenal neoplasms
spellingShingle Ricardo Fernández-Ferreira
Jose Manuel Torres-Zazueta
César Martínez-Medrano
Adrián Meléndez-Mendoza
Sonia Tavares-García
María Alejandra Muñoz Rubiano
Gredel Portela-Rubio
Julieta Robles-Castro
Jorge Alberto Robles-Aviña
Jose Manuel Ruiz Morales
Nephroblastoma in Older Adult: Case Report and Review of Literature
Case Reports in Oncology
nephroblastoma
wilms’ tumor
metanephric blastema
nephrectomy
renal neoplasms
title Nephroblastoma in Older Adult: Case Report and Review of Literature
title_full Nephroblastoma in Older Adult: Case Report and Review of Literature
title_fullStr Nephroblastoma in Older Adult: Case Report and Review of Literature
title_full_unstemmed Nephroblastoma in Older Adult: Case Report and Review of Literature
title_short Nephroblastoma in Older Adult: Case Report and Review of Literature
title_sort nephroblastoma in older adult case report and review of literature
topic nephroblastoma
wilms’ tumor
metanephric blastema
nephrectomy
renal neoplasms
url https://beta.karger.com/Article/FullText/540279
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