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Misleading leads: Wilms tumor with a metachronous lesion appearing in the remaining kidney

✍ Scribed by Hilden, Joanne M.; Brennom, William S.; Wolpert, James J.; Beckwith, J. Bruce

Publisher: John Wiley and Sons
Year: 1998
Tongue: English
Weight: 252 KB
Volume: 30
Category: Article
ISSN: 0098-1532
DOI: 10.1002/(sici)1096-911x(199803)30:3<180::aid-mpo11>3.0.co;2-r

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✦ Synopsis

Medullary dysplasia may be present in the kidneys of children with the Beckwith-Wiedemann Syndrome (BWS). This is usually visible only at the microscopic level, but superimposed pyelonephritis in a child with the BWS led to gross changes that produced a filling de-fect on CT scanning of the remaining kidney. The finding could have been misinterpreted as a metachronous wilms tumor.

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