ArticleRadiology case reports2025
Retroperitoneal extrarenal Wilms tumor: A diagnostic challenge and kidney-sparing approach.
Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
This is a report of a 2-year-old female who presented with a large right retroperitoneal mass that was abutting the right kidney but appeared distinct with absence of the "claw sign." Biopsy showed Wilms tumor. Following neoadjuvant chemotherapy, the tumor remained associated with the kidney, though without clear renal origin. Intraoperatively, an extrarenal Wilms tumor was confirmed, and tumor resection was performed without nephrectomy. Postoperatively, the patient underwent kidney-sparing proton beam flank radiation and completed chemotherapy. Imaging remains negative for recurrence, and there is no postradiation atrophy of the right kidney 18 months following completion of therapy. A high index of suspicion is needed for extrarenal, retroperitoneal Wilms tumor to allow for kidney-sparing treatment.
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