Abstract
When a tumor and trauma coexist, the treatment strategy must be established while considering their interaction. We herein report a 5-month-old girl with Wilms tumor complicated by blunt renal trauma. She was involved in a traffic accident and had hemorrhagic shock due to renal bleeding. We performed hemostasis by transcatheter arterial embolization. Ten days later, we extirpated the potential malignant tumor and left kidney. We were able to complete the surgery without rupture or major bleeding. Postoperative histopathology confirmed Wilms tumor. In the year since she received postoperative chemotherapy, there has been no recurrence. When we were deciding the treatment strategy, we first had to determine how much the renal trauma had affected the tumor staging. The second issue was when to extirpate the tumor after managing the trauma. There are no standard criteria for such situations at present, so we referred to the criteria concerning the bed rest period in cases of traumatic kidney injury and previous case reports and decided to wait over a week from the injury treatment to perform surgery. As a result, we were able to remove the tumor completely without any rupture or major bleeding.
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The authors thank Mr. Brian Quinn for his assistance in the reading and editing of the English language of this manuscript.
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This case study was performed according to the Ethical Guidelines for Clinical Research published by the Ministry of Health, Labour and Welfare of Japan on Jul 30, 2003 (revised in 2008), and complied with the Declaration of Helsinki (revised in 2008). The patient in this study provided their informed consent. This study was approved by the ethics committee for clinical research of Kyushu University Hospital (No. 2019-514).
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Omori, A., Yoshimaru, K., Souzaki, R. et al. Successful management of Wilms tumor accompanied by traumatic renal injury: a case report. Int Canc Conf J 10, 300–304 (2021). https://doi.org/10.1007/s13691-021-00496-w
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DOI: https://doi.org/10.1007/s13691-021-00496-w