Eur J Pediatr Surg 2010; 20(6): 415-416
DOI: 10.1055/s-0030-1254109
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© Georg Thieme Verlag KG Stuttgart · New York

Bilateral Testicular Metastasis from Wilms' Tumor

P. Daher1 , L. Raffoul1 , E. Riachy1 , N. Ibrahim2 , P.-H. Torbey3
  • 1Hotel-Dieu de France Hospital, Saint Joseph University, Department of Pediatric Surgery, Beirut, Lebanon
  • 2Hotel-Dieu de France Hospital, Saint Joseph University, Department of Pathology, Beirut, Lebanon
  • 3Hotel-Dieu de France Hospital, Saint Joseph University, Department of Pediatric Oncology, Beirut, Lebanon
Further Information

Publication History

Publication Date:
24 June 2010 (online)

Introduction

The treatment of Wilms’ tumor has been one of the remarkable success stories in childhood cancer [1] [2]. Known to be the most common form of renal neoplasm [2] [3], every effort has been made to set up an appropriate management protocol. The surgeon has two basic responsibilities: to accomplish complete resection of all viable tumor tissue, and to provide accurate staging information, so that appropriate adjuvant therapy can be prescribed [2]. However, everything becomes blurry when it comes to so-called “unusual” metastasis of Wilms’ tumor, “unusual” referring to metastasis to the testes or epididymis [3] [4].

To our knowledge, we describe the first case of bilateral testicular metastasis from Wilms’ tumor.

References

  • 1 Coppes MJ, Wolff JE, Ritchey ML. Wilms tumour: diagnosis and treatment.  Paediatr Drugs. 1999;  1 251-262
  • 2 Shamberger RC. Renal Tumors. In: Ashcraft KW, Holcomb GW, Murphy Ashcraft's pediatric surgery 4th ed. Philadelphia: Saunders/Elsevier; 2005: 914-932
  • 3 Trobs RB, Friedriech T, Lotz I. et al . Wilms’ tumor metastasis to the testis: long-term survival.  Pediatr Surg Int. 2002;  18 541-542
  • 4 Dew H. Sarcomatous tumors of the testicle.  Surg Gynecol Obstet. 1928;  46 447-458
  • 5 Burca GA, Ciftci AO, Yalc B. et al . Paratesticular metastasis from Wilms' tumor associated with a hydrocele.  Pediatr Blood Cancer. 2006;  47 97-99
  • 6 De Camargo B, Pinus J, Lederman H. et al . Intrascrotal metastasis from Wilms’ tumor.  Med Pediatr Oncol. 1988;  16 381-383
  • 7 Sauter E, Schorin M, Farr G. et al . Wilms’ tumor with metastasis to the left testis.  Am Surg. 1990;  56 260-262
  • 8 Ouattara K, Daffe S, Timbeley A. Cancer du rein révélé par un envahissement tumoral massif du testicule. A propos d’une observation chez l’enfant.  J Urol. 1992;  98 60-61

Correspondence

Dr. Edward Riachy

Hotel-Dieu de France Hospital

Department of Pediatric Surgery

Boulevard Alfred Naccache

16-6830 Achrafieh

Lebanon

Phone: +961 1 61 5300

Fax: +961 1 61 5300 ext: 9704

Email: eddy_riachy@msn.com

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