Back to Search
Start Over
A pelvic mass 21 years after a Wilms tumour: late recurrence or new tumour?
- Source :
- Urologia Journal; May2023, Vol. 90 Issue 2, p430-433, 4p
- Publication Year :
- 2023
-
Abstract
- Introduction: Late Wilms tumour (WT) recurrences are rare events with poorly understood pathogenesis. They could be induced by previous chemo- and radiotherapy regimens, which can also prompt a rhabdomyomatous differentiation. Prostatic embryonal rhabdomyosarcoma (PER) is an extremely rare disease in adults, with an aggressive behaviour and abysmal prognosis. Radio-induced PER have been described. Case description: We report the case of a 29 years old man, with a history of WT, diagnosed with a symptomatic prostatic mass. Blastemic elements were shown at the transrectal biopsy, suggesting the possibility of a late WT recurrence. After laparoscopic resection, an unexpected pathologic diagnosis was reached: PER. Conclusion: We retrace and analyse the diagnostic and therapeutic path of the case that represents a mixture of two different conditions which might be unrelated or intertwined in a causal relationship. Among the differential diagnosis of a prostatic mass, the possibility of a prostatic sarcoma should not be overlooked, in presence of blastemic elements, even in a patient with a WT history. [ABSTRACT FROM AUTHOR]
- Subjects :
- LAPAROSCOPIC surgery
TUMORS
RHABDOMYOSARCOMA
RARE diseases
DIFFERENTIAL diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 03915603
- Volume :
- 90
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Urologia Journal
- Publication Type :
- Academic Journal
- Accession number :
- 164310398
- Full Text :
- https://doi.org/10.1177/03915603211026103