Case #3

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Expand Physical Exam


3-year-old male presented with failure to thrive to pediatrician who palpated an abdominal mass.

Expand X-Rays & Scans


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.

Expand Operative Findings


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.

Expand Pathological Reports


10.5 cm mass c/w Wilms tumor, favorable histology, 0/3 regional lymph nodes positive, Stage I. Margins negative.

Expand Treatment


Surgery: Right radical nephroadrenalectomy and retroperitoneal lymph node dissection.


Chemotherapy: actinomycin-D, vincristine