Case Report

A trio of multiple Wilms' tumours

S. Andronikou, C. Welman, E. Kader
South African Journal of Radiology | Vol 4, No 3 | a1518 | DOI: https://doi.org/10.4102/sajr.v4i3.1518 | © 2018 S. Andronikou, C. Welman, E. Kader | This work is licensed under CC Attribution 4.0
Submitted: 31 July 2018 | Published: 31 August 2000

About the author(s)

S. Andronikou, Department of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's Hospital, South Africa
C. Welman, Department of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's Hospital, South Africa
E. Kader, Department of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's Hospital, South Africa

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Abstract

Wilms' tumour is the commonest malignant abdominal tumour in children. Unilateral multicentric, and bilateral Wilms' tumours are, however, less common, occurring in 7% and 5% of cases respectively. These are often associated with sporadic aniridia, genitourinary anomalies, hemihypertrophy and nephroblastomatosis. Nephroblastomatosis is a separate entity that may act as a precursor of Wilms' tumours. We present three cases of multiple Wilms' tumours. Two cases also had nephroblastomatosis which was not seen on pre-operative CT imaging but was identified in one case at MRI. In cases of multiple Wilms' tumours, MRI provides better delineation of the tumours and may, therefore, affect management.

Keywords

Wilms' tumour; nephroblastomatosis; magnetic resonance imaging (MRI); computed tomography (CT); horseshoe kidney

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