Cost Nicholas G, Liss Zachary J, Bean Christopher M, Geller James I, Minevich Eugene A, Noh Paul H
Divisions of *Pediatric Urology ‡Pediatric Oncology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH †Department of Surgery, Division of Urology, University of Colorado School of Medicine and the Children's Hospital Colorado, Aurora, CO.
J Pediatr Hematol Oncol. 2015 Mar;37(2):e125-7. doi: 10.1097/MPH.0000000000000193.
Although Wilms tumor (WT) is the most common pediatric renal tumor, adolescent and adult WT is rare. Nevertheless, adolescent renal tumors as a group are sufficiently uncommon that WT must be included in the differential diagnosis for such patients, and in doing so affects the oncologic considerations of the surgery. Herein, we describe a 14-year-old female presenting with a 1-month history of right flank pain. Subsequent work-up revealed a localized, centrally located, enhancing right renal mass. The patient underwent robotic-assisted laparoscopic radical nephrectomy and pathology demonstrated stage II, favorable histology WT. Herein, we will discuss the pertinent details regarding adolescents with renal tumors and the risks and benefits of using a minimally invasive surgical approach.
虽然肾母细胞瘤（WT）是最常见的小儿肾脏肿瘤，但青少年和成人肾母细胞瘤却很罕见。然而，青少年肾脏肿瘤作为一个整体足够少见，以至于WT必须纳入这类患者的鉴别诊断中，这样做会影响手术的肿瘤学考量。在此，我们描述一名14岁女性，有1个月的右侧胁腹疼痛病史。后续检查发现一个位于右侧肾脏中央、局限性、有强化的肿块。该患者接受了机器人辅助腹腔镜根治性肾切除术，病理显示为II期、组织学良好的WT。在此，我们将讨论有关青少年肾肿瘤的相关细节以及采用微创外科手术方法的风险和益处。
