Abstract | INTRODUCTION: Bilateral Wilmns' tumors with an unfavorable histology requires a combined treatment (extensive surgery, polychimiotherapy, radiotherapy). OBJECTIVE: Presentation of the first renal transplant performed in Romania in a child with bilateral Wilms' tumor, at 3 years and 4 months after the end of a multimnodal treatment. MATERIAL AND METHODS: Patient C. N., born on 30.04.1998, was diagnosed in 04.2001 with right parenchymal renal tumor, polycystic kidney, left cystic renal tumor. 25.04.2001--right radical nephrectomy and partial left upper pole nephrectomy; histopathology examination: triphasic bilateral nephroblastoma, reactive lymph nodes, negative resection edges in the left kidney. 30.04-19.11.2001--polychemotherapy according to the NWTS-5 stages 2-4 focal anaplasia and radiotherapy of the right kidney bed (29.06.2001). 02.2002--a nephrotic syndrome on the remnant kidney which requires its excision and peritoneal dialysis. Abdominal control CT was normal in 03.2005. 11.03.2005- renal transplant from living related donor. RESULTS: Favorable post-transplant course with normal renal clearance values; at 2 months, normal urography control. CONCLUSIONS:
|
Authors | Ioanel Sinescu, Mihai Hârza, Bogdan Serbănescu, Constantin Gîngu, Bogdan Stefan, Cătălin Dudu |
Journal | Journal of medicine and life
(J Med Life)
2008 Jan-Mar
Vol. 1
Issue 1
Pg. 30-3
ISSN: 1844-122X [Print] Romania |
PMID | 20108476
(Publication Type: Case Reports, Journal Article)
|
Topics |
- Child, Preschool
- Humans
- Kidney Neoplasms
(diagnostic imaging, surgery)
- Kidney Transplantation
- Male
- Polycystic Kidney Diseases
(diagnostic imaging, surgery)
- Romania
- Tomography, X-Ray Computed
- Wilms Tumor
(diagnostic imaging, surgery)
|