Medicina - Palmira

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Tumor de Wilms en niño de 6 años: reporte de caso
(Universidad Santiago de Cali, 2024) Cuellar Chaparro, Danyely Alexandra; Sanclemente Rivera, Isabella; Fajardo Villegas, Juan David; Kanan Mohamed, Talat Ahmad (Director)
Among the most common neoplasms in the pediatric population are tumors of the nevious system, tumors of the hematopoietic system, retinoblastoma, and renal tumors. Renal tumors are the second most common intra-abdominal neoplasm in the pediatric population, of which 90% are estimated to correspond to primary malignant tumors, specifically Wilms' tumor, with bilateral presentation being the least common among renal tumors. We present the case of a male patient of 2 years of extrauterine life with fever, abdominal pain, and sudden onset with the presence of mass in the left flank and hypochondrium. He underwent neoadjuvant chemotherapy and bilateral partial nephrectomy. The post-surgical histopathological study confirmed a synchronous bilateral Wilms' tumor. The importance of this case lies in exposing a clinical presentation of Wilms tumor in its most uncommon form in a pediatric patient in order to broaden the knowledge about the diagnosis, and the importance of a multidisciplinary treatment.