SEER Training Modules
Case #3
Click an information source below to view the case history.
Physical Exam
10/25/XX
3-year-old male presented with failure to thrive to pediatrician who palpated an abdominal mass.
X-Rays & Scans
10/25/XX
CT abd/pelvis: 8 cm right renal mass slightly crosses midline. No inferior vena cava extension, adenopathy, contralateral kidney involvement. No metastatic disease seen in lung bases.
Operative Findings
10/27/XX
Large right renal fossa mass deflecting the colon, no evident diaphragmatic, hepatic, peritoneal, or omental mets. No evidence of rupture or extension of tumor beyond renal fossa or renal capsule. No significant abdominal fluid seen.
Pathological Reports
10/27/XX
10.5 cm mass c/w Wilms tumor, favorable histology, 0/3 regional lymph nodes positive, Stage I. Margins negative.
Treatment
10/27/XX
Surgery: Right radical nephroadrenalectomy and retroperitoneal lymph node dissection.
10/30/XX
Chemotherapy: actinomycin-D, vincristine
