Skip to main content

Advertisement

SpringerLink
Log in

Ultrasound in diagnosis of intrascrotal metastasis of Wilms’ tumor: first case report of a Chinese boy and review of the literature

  • Case Report
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

A 31-month-old boy with Wilms’ tumor (WT), which primarily had originated from the left kidney, was treated with nephrectomy and adjuvant chemotherapy. 2 months after nephrectomy, a left scrotal mass was found at routine follow-up. High-frequency sonography examination revealed an enlarged left testis with a heterogeneous texture and a hypoechoic solid mass in the left scrotum. Moreover, hypervascular signals presented in both the left testis and the mass on color Doppler flow imaging. Left orchiectomy was performed for suspected intrascrotal metastasis of WT, which was confirmed by histopathology examination. This was the first case of intrascrotal metastasis of WT reported in China with a detailed ultrasound description. Meanwhile, this study also reviewed the comparable diagnostic methods of intrascrotal metastasis of WT found in the English literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Davidoff AM. Wilms tumor. Adv Pediatr. 2012;59:247–67.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Breslow N, Sharples K, Beckwith JB, et al. Prognostic factors in nonmetastatic, favorable histology Wilms’ tumor. Cancer. 1991;68:2345–53.

    Article  CAS  PubMed  Google Scholar 

  3. Spreafico F, Bellani FF. Wilms’ tumor: past, present and (possibly) future. Expert Rev Anticancer Ther. 2006;6:249–58.

    Article  PubMed  Google Scholar 

  4. Varan A. Wilms’ tumor in children: an overview. Nephron Clin Pract. 2008;108:c83–90.

    Article  PubMed  Google Scholar 

  5. Dew H. Sarcomatous tumors of the testicle. Surg Gynecol Oncol. 1928;46:447–58.

    Google Scholar 

  6. De Camargo B, Pinus J, Lederman H, et al. Intrascrotal metastasis from Wilms’ tumor. Med Pediatr Oncol. 1988;16:381–3.

    Article  PubMed  Google Scholar 

  7. Sauter ER, Schorin MA, Farr GH Jr, et al. Wilms’ tumor with metastasis to the left testis. Am Surg. 1990;56:260–2.

    CAS  PubMed  Google Scholar 

  8. Adler DD, Carson PL, Rubin JM, et al. Doppler ultrasound color flow imaging in the study of breast cancer: preliminary findings. Ultrasound Med Biol. 1990;116:553–9.

    Article  Google Scholar 

  9. Tröbs RB, Friedrich T, Lotz I, et al. Wilms’ tumour metastasis to the testis: long-term survival. Pediatr Surg Int. 2002;18:541–2.

    Article  PubMed  Google Scholar 

  10. Aydin GB, Ciftçi AO, Yalçin B, et al. Paratesticular metastasis from Wilms tumor associated with a hydrocele. Pediatr Blood Cancer. 2006;47:97–9.

    Article  PubMed  Google Scholar 

  11. Daher P, Raffoul L, Riachy E, et al. Bilateral testicular metastasis from Wilms’ tumor. Eur J Pediatr Surg. 2010;20:415–6.

    Article  CAS  PubMed  Google Scholar 

  12. Kajbafzadeh AM, Javan-Farazmand N, Baghayee A, et al. Paratesticular metastasis from Wilms tumor: the possible routs of metastasis and literature review. J Pediatr Hematol Oncol. 2011;33:e347–9.

    Article  PubMed  Google Scholar 

  13. Palmer BW, Xiong Y, Gherezghiher A, et al. Wilms’ tumor metastatic to bilateral testes at presentation: case and review of the literature. Urology. 2012;79:899–901.

    Article  PubMed  Google Scholar 

  14. Marc S, Arkovitz HB, Ginsburg JE, et al. Primary extrarenal Wilms’ tumor in the inguinal canal: case report and review of the literature. J Pediatr Surg. 1996;31:957–9.

    Article  Google Scholar 

Download references

Conflict of interest

There are no financial or other relations that could lead to a conflict of interest.

Ethical considerations

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

  1. Department of Ultrasound, West China Hospital of Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, China

    Yu-Jia Yang & Ju-Xian Liu

  2. Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, China

    Bo Xiang

  3. Department of Pathology, West China Hospital, Sichuan University, Chengdu, China

    Mei Yang

  4. Department of Radiology, West China Second Hospital, Sichuan University, Chengdu, China

    Hui-Zhu Chen

Authors
  1. Yu-Jia Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Bo Xiang
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ju-Xian Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mei Yang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hui-Zhu Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ju-Xian Liu.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yang, YJ., Xiang, B., Liu, JX. et al. Ultrasound in diagnosis of intrascrotal metastasis of Wilms’ tumor: first case report of a Chinese boy and review of the literature. J Med Ultrasonics 42, 575–578 (2015). https://doi.org/10.1007/s10396-015-0642-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-015-0642-4

Keywords

Search

Navigation