Virchows Archiv

, Volume 436, Issue 5, pp 502–505 | Cite as

Primary lumbosacral Wilms tumour associated with occult spinal dysraphism

  • D. Govender
  • G. P. Hadley
  • Sameer S. Nadvi
  • Rory B. Donnellan
Case Report

Abstract 

A 4-year-old child presenting with sudden- onset paraplegia and a sacral tumour in association with spina bifida occulta is reported. There were no stigmata of spinal dysraphism at birth. Imaging studies confirmed a sacral tumour with extradural extension up to T10 and spinal dysraphism. The histological features of the extradural and sacral components of the tumour were consistent with a Wilms tumour. The differential diagnosis included a primary sacral teratoma containing Wilms tumour elements or a primary extrarenal Wilms tumour arising in association with a spinal dysraphism. There was no clinical response to chemotherapy or radiotherapy.

Key words Extrarenal nephroblastoma Sacrum Spinal dysraphism Teratoma Wilms tumour 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • D. Govender
    • 1
  • G. P. Hadley
    • 2
  • Sameer S. Nadvi
    • 3
  • Rory B. Donnellan
    • 1
  1. 1.Department of Pathology, University of Natal Medical School, Private Bag 7, Congella, Durban, 4013, South Africa e-mail: govendh@med.und.ac.za Tel.: +27-31-2604493, Fax: +27-31-2052711ZA
  2. 2.Department of Paediatric Surgery, University of Natal Medical School, Durban, South AfricaZA
  3. 3.Department of Neurosurgery, University of Natal Medical School, Durban, South AfricaZA

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