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DOI: 10.1055/s-0030-1254109
© Georg Thieme Verlag KG Stuttgart · New York
Bilateral Testicular Metastasis from Wilms' Tumor
Publikationsverlauf
Publikationsdatum:
24. Juni 2010 (online)
Introduction
The treatment of Wilms’ tumor has been one of the remarkable success stories in childhood cancer [1] [2]. Known to be the most common form of renal neoplasm [2] [3], every effort has been made to set up an appropriate management protocol. The surgeon has two basic responsibilities: to accomplish complete resection of all viable tumor tissue, and to provide accurate staging information, so that appropriate adjuvant therapy can be prescribed [2]. However, everything becomes blurry when it comes to so-called “unusual” metastasis of Wilms’ tumor, “unusual” referring to metastasis to the testes or epididymis [3] [4].
To our knowledge, we describe the first case of bilateral testicular metastasis from Wilms’ tumor.
References
- 1 Coppes MJ, Wolff JE, Ritchey ML. Wilms tumour: diagnosis and treatment. Paediatr Drugs. 1999; 1 251-262
- 2 Shamberger RC. Renal Tumors. In: Ashcraft KW, Holcomb GW, Murphy Ashcraft's pediatric surgery 4th ed. Philadelphia: Saunders/Elsevier; 2005: 914-932
- 3 Trobs RB, Friedriech T, Lotz I. et al . Wilms’ tumor metastasis to the testis: long-term survival. Pediatr Surg Int. 2002; 18 541-542
- 4 Dew H. Sarcomatous tumors of the testicle. Surg Gynecol Obstet. 1928; 46 447-458
- 5 Burca GA, Ciftci AO, Yalc B. et al . Paratesticular metastasis from Wilms' tumor associated with a hydrocele. Pediatr Blood Cancer. 2006; 47 97-99
- 6 De Camargo B, Pinus J, Lederman H. et al . Intrascrotal metastasis from Wilms’ tumor. Med Pediatr Oncol. 1988; 16 381-383
- 7 Sauter E, Schorin M, Farr G. et al . Wilms’ tumor with metastasis to the left testis. Am Surg. 1990; 56 260-262
- 8 Ouattara K, Daffe S, Timbeley A. Cancer du rein révélé par un envahissement tumoral massif du testicule. A propos d’une observation chez l’enfant. J Urol. 1992; 98 60-61
Correspondence
Dr. Edward Riachy
Hotel-Dieu de France Hospital
Department of Pediatric Surgery
Boulevard Alfred Naccache
16-6830 Achrafieh
Lebanon
Telefon: +961 1 61 5300
Fax: +961 1 61 5300 ext: 9704
eMail: eddy_riachy@msn.com