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Chin Med J (Taipei) 1996;58:286-90.

Adult Wilms' Tumor: A Case Report

Shih-Peng Hsieh1, Wei-Chuan Chen2, Hui-Hwa Tseng1

1Department of Pathology; 2Section of Urology, Department of Surgery, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan, R.O.C.


Abstract

Wilms' tumor (nephroblastoma) is the most common intraabdominal tumor in children; its three primary components are blastemal, epithelial and stromal, with predominance of tri-phasic lesion. The tumor is rare in adults, in whom the Wilms' tumor accounts for less than 1%. The case presented here concerns a case of 46-year-old female with stage II, Wilms' tumor, composed of purely mono-phasic differentiated epithelial component with favorable histology. The patient received radical nephrectomy, than post-operative chemotherapy and radiotherapy as recommended by National Wilms' Tumor Study. With the advent of modern chemotherapy, the adult Wilms' tumor can have a better prognosis than previously. Because of the rarity of adult Wilms' tumor and its unusual histo-morphology, this case is described and the literature, reviewed.

[Chin Med J (Taipei) 1996;58:286-90.]

Keywords: adult, monophasic epithelial type, nephroblastoma, Wilms' tumor

Received: January 3, 1996.

Accepted: May 9, 1996.

Reprint requests to:

Shih-Peng Hsieh, M.D.
Department of Pathology
Veterans General Hospital-Kaohsiung
386, Ta-Chung 1st. Road
Kaohsiung, Taiwan, R.O.C.


Copyright: 1996, Chinese Medical Association (Taipei)