Case Report
Adult Wilms' tumour: a case report with review of literature
1 Department of Pathology, Kempegowda Institute of Medical Sciences, Bangalore – 560004, India
2 Director, Kempegowda Institute of Medical Sciences, Bangalore – 560004, India
Diagnostic Pathology 2006, 1:46 doi:10.1186/1746-1596-1-46
Published: 5 December 2006Abstract
Background
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.
Conclusion
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.



