Giant renal tumor in adolescent: a diagnostic dilemma and a surgical challenge

Preet Mohan Singh; Siddharth Yadav; Fouzia Siraj; Bhavya Krishna

doi:10.18203/2349-2902.isj20233355

Authors

Preet Mohan Singh Department of Urology and Renal Transplant, VMMC and Safdarjung Hospital, New Delhi, India
Siddharth Yadav Department of Urology and Renal Transplant, VMMC and Safdarjung Hospital, New Delhi, India
Fouzia Siraj National Institute of Pathology, ICMR, VMMC and Safdarjung Hospital, New Delhi, India
Bhavya Krishna Department of Anaesthesia and Critical Care Medicine, VMMC and Safdarjung Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20233355

Keywords:

Giant renal tumour, Adolescent, Wilms' tumor

Abstract

Giant renal tumors filling the entire abdominal cavity are rare in adolescents and pose a surgical challenge. Unlike their pediatric counterparts, where upfront chemotherapy can be administered without histologic confirmation, management of a giant renal tumour in adolescents follows that of the adults and is primarily surgical. Herein, we report a case of 17 years old male who presented with a 15×15 cm, 3.75 kg metastatic right renal tumour filling the entire abdominal cavity and displacing the great vessels and was managed by surgical resection, as multiple attempts of obtaining a percutaneous histologic diagnosis were unsuccessful.

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