Open AccessCystic variant of favorable-histology Wilms′ tumor presenting with osteolytic metastasis to the ribs
Author(s) -
Bindhu Joseph,
Amna Imtiaz,
Rekha V. Kumar,
MU Thejaswini
Publication year - 2010
Publication title -
journal of postgraduate medicine/journal of postgraduate medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.405
H-Index - 52
eISSN - 0972-2823
pISSN - 0022-3859
DOI - 10.4103/0022-3859.62436
Subject(s) - medicine , wilms' tumor , pathology , metastasis , histology , presentation (obstetrics) , rib cage , cancer , radiology , anatomy
Cystic neoplasms of the kidney presenting in childhood always present a therapeutic dilemma. Low-risk renal tumors of childhood cover a wide spectrum: cystic nephroma, cystic partially differentiated nephroblastoma and cystic Wilms' tumor. There are difficulties in differentiating these tumors on preoperative imaging. The present case presented such a therapeutic dilemma and was finally diagnosed as a cystic variant of favorable-histology Wilms' tumor with osteolytic metastasis to the ribs. The case is presented in view of its rare presentation and the therapeutic and diagnostic challenges involved.