A big Wilms tumor in a 14-months-old boy

Wójtowicz Agnieszka, Ściślak Robert, Widłak Karolina, Nurzyńska-Flak Joanna. A big Wilms tumor in a 14-months-old boy. Journal of Education, Health and Sport. 2019;9(4):557-562. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2652667 http://ojs.ukw.edu.pl/index.php/johs/article/view/6866 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2019; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.04.2019. Revised: 25.04.2019. Accepted: 26.04.2019. A big Wilms tumor in a 14-months-old boy Agnieszka Wójtowicz1a, Robert Ściślak1b, Karolina Widłak1c, Joanna Nurzyńska-Flak2d Students’ Scientific Association at the Department of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin Department of Pediatric Hematology, Oncology and Transplantology, Medical University of Lublin agnieszkawojtowicz.aw2@gmail.com, ORCID ID: https://orcid.org/0000-0003-0892-1325 robert.scislak@gmail.com, ORCID ID: https://orcid.org/0000-0002-2534-0576 karo.widlak@gmail.com, ORCID ID: https://orcid.org/0000-0002-4850-5716 asianurz@o2.pl, ORCID ID: https://orcid.org/0000-0001-6948-3432 Abstract Introduction. Wilms tumor (nephroblastoma) is a malignant neoplasm located in a kidney. It is typical for children and it occurs almost exclusively in a childhood. Purpose of work, material and methods. The aim of the study is presentation of symptoms, diagnostics and treatment of the massive Wilms tumor in a 14-months-old child. Results. In the paper it was presented the case of 14-months-old boy with the Wilms tumor. The patient did not present typical symptoms of a nephroblastoma, except from a perceptible tumor in a abdomen. US and CT scan confirmed a preliminary diagnosis of the neoplasm. After US, a parasitic cyst was taken into account in a differential diagnostics. Despite a growth the tumor after a pre-operative chemotherapy and a radical nephrectomy was successful. A complete remission was achieved. Discussion. The age of the boy was standard for Wilms tumor. The patient presented the main symptom for nephroblastoma – a large, painless abdominal mass, but without other symptoms (haematuria, malaise and hypertension). A protocol involves a primary treatment with chemotherapy, next surgical resection and later post-operative chemotherapy. The prognosis and survival rate of Wilms tumor depends on pathologic pattern. Relapses are rare in nephroblastoma. Conclusion. The case was not typical form of the Wilms tumor. Doctors should take it into account while diagnosing other illnesses with similar symptoms. Key words: Wilms tumor; nephroblastoma; child; treatment.