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Adult Wilms' tumour: a case report with review of literature

V Geethamani1, V Kusuma1, KM Srinivasa Gowda2 and Monika Lamba Saini1*

Author Affiliations

1 Department of Pathology, Kempegowda Institute of Medical Sciences, Bangalore – 560004, India

2 Director, Kempegowda Institute of Medical Sciences, Bangalore – 560004, India

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Diagnostic Pathology 2006, 1:46  doi:10.1186/1746-1596-1-46

Published: 5 December 2006



Wilms' tumor is the commonest primary malignant renal tumor in childhood. Rarely, it may present in the adult age group.

Case presentation

We report a 48-year-old male presenting with flank pain and haematuria. Abdominal ultrasound revealed a right renal mass measuring 11 × 10 cms, and a clinical diagnosis of renal cell carcinoma was made. Nephrectomy was performed, and a final diagnosis of adult Wilms' tumor was made based on the criteria proposed by Kilton et al.


The possibility of an adult Wilms' tumor should be considered when a patient presents with pain in the flank and a renal mass. Rarity of the tumor favors documentation in literature.