Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5690806 | Urology | 2017 | 8 Pages |
Abstract
A 12-year-old female presented with abdominal pain, night sweats, weight loss, constipation, dysmenorrhea, menorrhagia, and vaginal discharge. Examination revealed a palpable flank mass and a large tumor adherent to the anterior vaginal wall. Computed tomography scan demonstrated a 23âcm mass in the left kidney, a separate 10.8âcm pelvic mass, and metastatic disease. Biopsies were consistent with Wilms tumor. Neoadjuvant chemotherapy and a left radical nephrectomy were performed for her stage IV disease as the kidney was amiable to complete resection. The patient received radiation and resumed chemotherapy. She was doing well with improved symptoms at follow-up.
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Authors
Adam S. Howe, Bradley A. Morganstern, Heather Appelbaum, Sandeep Mehta, Lane S. Palmer,