Abstract
Nephroblastomas (Wilms’ tumour) are the most common solid malignancies in childhood, but extra-renal Wilms’ tumours are rare entities, and the diagnosis is made only after surgical intervention. However, the embryogenesis and the exact mechanism of occurrence of primary ERWTs is controversial, thereby presenting a number of unanswered questions of great theoretical interests. We present three well-proven cases of extra-renal Wilms’ tumour together with a review of the literature based on its histogenesis, its behaviour and its management policies.
Abbreviations
- ERWT:
-
Extra-renal Wilms’ tumour
- VAD:
-
Vincristine, Adriamycin, actinomycin-D
- WAR:
-
Whole abdomen radiation
- NWTS:
-
National Wilms’ Tumour Study Group
- SIOP:
-
International Society of Pediatric Oncology
- UKCCSG:
-
United Kingdom Children’s Cancer Study Group
References
Moyson F, Maurus-Desmarez R, Gompel G (1961) Tumeur de Wilms Mediastinale. Acta Chir Belg 2:118–128
Song JH, Hansen K, Wallach MT (1997) Extra-renal Wilms’ tumour. J Ultrasound Med 16:149–151
Coppes MJ, Wilson PC, Weitzman S (1991) Extrarenal Wilms’ tumor: staging, treatment and prognosis. J Clin Oncol 9:167–174
Taylor WF, Myers M, Taylor WR (1980) Extrarenal Wilms’ tumour in an infant exposed to phenytoin. Lancet 2:481–482
Babin EA, Davis JR, Hatch KD, Hallum AV 3rd (2000) Wilms’ tumour of the cervix: a case report and review of literature. Gynaecol Oncol 76:107–111
Madanat F, Osborne B, Cangir A, Sutow WW (1978) Extra-renal Wilms’ tumour. J Pediatr 93:439–443
Ulku O, Baran T, Mustafa FA, Nilufer TE (2002) Wilms’ tumour of the ovary: a case report. J Pediatr Surg 37:127–129
Sahin A, Benda JA (1988) Primary ovarian Wilms’ tumor. Cancer 61:1460–1463
Ronald SM, Wayne G, Johannes JG (2001) Adult extra-renal Wilms’ tumour occurring in the uterus. A case report and review of the literature. Arch Pathol Lab Med 125:1081–1083
Govender D, Hadley GP, Nadvi SS, Donellan RB (2000) Primary lumbosacral Wilms’ tumour associated with occult spinal dysraphism. Virchows Arch 436:502–505
Ward SP, Dehner LP (1974) Sacrococcygeal teratoma with nephroblastoma: a variant of extra gonadal teratoma in childhood. Cancer 33:1355–1363
Bhajekar AB, Joseph M, Bhat HS (1964) Unattached nephroblastoma. Br J Urol 36:187–190
Thompson MR, Emmanuel IG, Campbell MS, Zachary RB (1973) Extrarenal Wilms’ tumor. J Pediatr Surg 8:37–41
Tebbi K, Ragab AH, Ternberg JL, Vietti TJ (1974) An extra-renal Wilms’ tumour arising from a sacrococcygeal teratoma. Clin Pediatr 13:1019–1021
Akhtar M, Kott E, Brook B (1972) Extra-renal Wilms’ tumor. Cancer 40:3087–3091
Gaikwad KD, Patil PS, Bhavthankar AG, Dave VB, Chavan SB (1977) Extra-renal Wilms’ tumour. Indian Pediatr 14:657–659
Harms D, Löhr J (1978) Inguinaler Wilms’ tumour. Klin Padiatr 190:54–56
Aterman K, Grantmyr E, Gills DA (1979) Extra-renal Wilms’ tumor: a review and case report. Invest Cell Pathol 2:309–318
McCauley RG, Safaii H, Crowley CA, Pinn VW (1979) Extrarenal Wilms’ tumor. Am J Dis Child 133:1174–1177
Orlowski JP, Levin HS, Dyment PG (1980) Intra-scrotal Wilms’ tumor developing in a heterotopic renal anlage of probable mesonephric origin. J Pediatr Surg 15:679–682
Bittencourt AL, Brito JF, Fonseca LE (1981) Wilms’ tumour of the uterus: the first report of literature. Cancer 47:2496–2499
Ho J, Ma L, Wong KC (1981) An extrarenal Wilms’ tumour arising from an undescended testis. Pathology 13:619–624
Meng LL, Jagadeesan K (1983) Extrarenal Wilms’ tumour. Med J Malaysia 38:134–136
Luchtrath H, de Leon F, Giesen H, Gok Y (1984) Inguinal nephroblastoma. Virchows Arch A Pathol Anat Histopathol 405:113–118
Bell DA, Shimm DS, Gang DL (1985) Wilms’ tumor of the endocervix. Arch Pathol Lab Med 109:371–373
Heyns CF, Van Niekerk DJ, Rossouw DJ, Burger EC, de Klerk DP (1987) Nephroblastoma of the ovotestis of a true hermaphrodite. A case report. J Urol 137:1003–1005
Koretz MJ, Wang S, Klein FA, Lawrence W Jr (1987) Extrarenal adult Wilms’ tumor. Cancer 60:2484–2488
Fukutomi Y, Shibuya C, Yamamoto S, Okuno F, Nishiwaki S, Kashiki Y, Muto Y (1988) Extrarenal Wilms’ tumor in the adult patient. A case report and review of the world literature. Am J Clin Pathol 90:618–622
Lai HS, Hung WT, How SW (1988) Extrarenal Wilms’ tumor—a case report. J Pediatr Surg 23:454–456
Broecker BH, Caldamone AA, McWilliams NB, Maurer H, Salzberg A (1989) Primary extrarenal Wilms’ tumor in children. J Pediatr Surg 24:1283–1288
Wakely PE, Sprague RI, Kornstein MJ (1989) Extrarenal Wilms’ tumour: analysis of four cases. Hum Pathol 20:691–695
Fernandes ET, Kumar M, Douglass EC, Wilimas J, Parham DM, Rao BN (1989) Extrarenal Wilms’ tumour. J Pediatr Surg 24:483–485
Narasimharao KL, Marwaha RK, Kaushik S, Bharati B, Katariya S, Mitra SK, Walia BN (1989) Extra-renal Wilms’ tumour. J Pediatr Surg 24:212–214
Strand WR, Chou P, Pero JE, Kaplan WE (1990) Extrarenal Wilms’ tumor occurring in the inguinal canal. J Urol 143:783–785
Fahner JB, Switzer R, Freyer DR, Mann JD, Mann RJ (1993) Extrarenal Wilms’ tumor. Unusual presentation in the lumbosacral region. Am J Pediatr Hematol Oncol 15:117–119
Rasheed K, O’Meara A, Kelleher J, Breatnach F, Fitzgerald RJ (1993) Extrarenal Wilms’ tumour. Eur J Pediatr Surg 3:121–123
Comerci JT, Denehy T, Gregori CA, Breel JL (1993) Wilms’ tumour of the uterus. A case report. J Reprod Med 38:829–832
Santonja C, Diaz MA, Dehner LP (1996) Unique dysembryonic neoplasm of the adrenal gland composed of nephrogenic nests in a child. Am J Surg Pathol 20:118–124
Arkovitz MS, Ginsburg HB, Eidelman J, Greco MA, Rauson A (1996) Primary extrarenal Wilms’ tumor in the inguinal canal: case report and review of the literature. J Pediatr Surg 31:957–959
Lopez Cubillana P, Nortes Cano L, Martinez Barba E (1997) Extrarenal Wilms’ tumor: diagnosis and treatment review regarding a case report. Arch Esp Urol 50:999–1001
Benatar B, Wright C, Freinkel AL, Cooper K (1998) Primary extra-renal Wilms’ tumour of the uterus presenting as a cervical polyp. Int J Gynaecol Pathol 17:277–280
Massarelli G, Bosincu L, Costanzi G, Onida GA (1999) Uterine Wilms’ tumour. Int J Gynaecol Pathol 18:402–403
Jiskoot P, Aertsens W, Degels MA, Moerman P (1999) Extrarenal Wilms’ tumor of the uterus. Eur J Gynaecol Oncol 20:195–197
Iraniha S, Shen V, Kruppe CN, Downey EC (1999) Uterine cervical extrarenal Wilms’ tumor managed without hysterectomy. J Pediatr Hematol Oncol 21:548–550
Isaac MA, Vijayalakshmi S, Madhu CS, Bosincu L, Nogales FF (2000) Pure cystic nephroblastoma of the ovary with a review of extrarenal Wilms’ tumors. Hum Pathol 31:761–764
Muc RS, Grayson W, Grobbelaar JJ (2001) Adult extrarenal Wilms’ tumor occurring in the uterus. Arch Pathol Lab Med 125:1081–1083
Arda IS, Tuzun M, Demirhan B, Sevmis S, Hicsonmez A (2001) Lumbosacral extrarenal Wilms’ tumour: a case report and literature review. Eur J Pediatr 160:617–619
McAlpine M, Azodi D, O’Malley M, Kelly G, Golenewsky M, Martel T, Rutherford, Tavassoli F (2005) Extrarenal Wilms’ tumor of the uterine corpus. J Gynecol Oncol 96:892–896
Aterman K (1989) Extra-renal nephroblastomas. J Cancer Res Oncol 115:409–417
Bennington JL, Beckwith JB (1975) Tumours of the kidney, renal pelvis and ureter. In: Atlas of tumour pathology, 2nd series. Armed Forces Institute of Pathology, Fasc, Washington, DC, pp 12, 32–40
Beckwith JB, Palmer NF (1978) Histopathology and prognosis of Wilms’ tumour. Cancer 41:1937–1948
Lemerle J, Voute PA, Tournade MF, Rodary C, Delemarre JF, Sarrazin D, Burgers JM, Sandstedt B, Mildenberger H, Carli M, Jereb B, Moorman-Voestermaans CGM (1983) Effectiveness of preoperative chemotherapy in Wilms’ tumor: result of an International Society of Pediatric Oncology (SIOP) Clinical Trial. J Clin Oncol 10:604–609
D’Angio GJ, Breslow N, Beckwith JB, Evans A, Baum H, deLorimier A, Fernbach D, Hrabovsky E, Jones B, Kelalis P (1989) Treatment of Wilms’ tumour, results of third national Wilms’ tumour study. Cancer 64:349–360
Voute PA, Tournade HF, Delemarre JFM (1987) Preoperative chemotherapy as first treatment in children with Wilms’ tumor: result of SIOP Nephroblastoma trials and studies (abstract). Proc Am Soc Clin Oncol 6:223
Coppes MJ, de Kraker J, van Dijken PJ, Perry HJ, Delemarre JF, Tournade MF, Lemerle J, Voute PA (1989) Bilateral Wilms’ tumor. Long-term survival and some epidemiological features. J Clin Oncol 7:310–315
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Sastri, J., Dedhia, R., Laskar, S. et al. Extra-renal Wilms’ tumour—is it different?. Pediatr Nephrol 21, 591–596 (2006). https://doi.org/10.1007/s00467-005-0002-5
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DOI: https://doi.org/10.1007/s00467-005-0002-5