Wilms' tumour in adults: a case report and review of the literature.

BACKGROUND

Wilms' tumour is a very rare adult malignancy representing 1% of adult renal tumours. It is however the most common renal tumour of childhood, and adult patients are treated in accordance with paediatric protocols.

AIM

To review modern day management of adult Wilms' tumour.

METHODS

We report a case of adult Wilms' tumour and discuss the management including the use of newer treatment modalities.

RESULTS

Following diagnostic nephrectomy, our patient was treated with chemotherapy in accordance with North American paediatric protocols and PET scanning was used to diagnose early relapse.

CONCLUSION

In the absence of randomised controlled data, central reporting of cases of adult Wilms' Tumour may help improve management. The incorporation of newer chemotherapeutic agents, high-dose therapy and PET scanning into treatment protocols should improve outcome for these patients.