Yonsei Med J.  1989 Mar;30(1):88-94. 10.3349/ymj.1989.30.1.88.

Adult Wilms' tumor: a case report

Affiliations
  • 1Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Urology, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Radiology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

A case of Wilms' tumor in a 67 year-old female is presented. The tumor totally replaced the left kidney with extension to Gerota's fascia, the adrenal gland and ureter, with tumor thrombi in the left renal vein. Multiple bony metastases to the skull, shoulder, rib, ilium, acetabulum and femur were noted also. Microscopically, the tumor was composed predominantly of blastemal tissue with diffuse anaplasia with areas of tubular differentiation and chondroid elements. Clear cell nests were found in the proximal ureter with gradual maturation downward.

Keyword

Wilms' tumor; bony metastases; clear cell nests

MeSH Terms

Aged
Bone Neoplasms/secondary
Case Report
Female
Human
Kidney/pathology
Kidney Neoplasms/*pathology/radiography
Nephroblastoma/*pathology/radiography
Tomography, X-Ray Computed
Ureter/pathology
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