Arbel Leor T, Jessop Morris, Al-Omar Osama
Department of Urology, West Virginia University School of Medicine, PO Box 9238, Morgantown, WV 26506, USA.
Urol Case Rep. 2018 Jun 7;20:38-40. doi: 10.1016/j.eucr.2018.06.004. eCollection 2018 Sep.
Wilms' tumor manifesting as an obstructing ureteral mass is extremely rare. Herein, we report an unusual case in which a child presented with a clinical picture concerning for and suggestive of ureteropelvic junction obstruction (UPJO), but was instead found to have an intrapelvic pedunculated Wilms' tumor with extension into the proximal ureter. We discuss the patient's diagnostic workup, radiographic, operative and pathologic findings, as well as important lessons learned from this unusual case.
表现为阻塞性输尿管肿块的肾母细胞瘤极为罕见。在此，我们报告一例不寻常的病例，一名儿童临床表现提示肾盂输尿管连接部梗阻（UPJO），但实际上发现其肾盂内有带蒂的肾母细胞瘤，并延伸至近端输尿管。我们讨论了该患者的诊断检查、影像学、手术及病理结果，以及从此例不寻常病例中吸取的重要经验教训。
