Godec C J, Smith S J, Belzer M B, Strom R L
Urology. 1987 Aug;30(2):147-52. doi: 10.1016/0090-4295(87)90182-8.
Adult Wilms tumor is still considered a rarity. Approximately 170 adult Wilms tumors have been reported. The final diagnosis is usually established with surgery. There is no specific radiologic diagnosis of adult Wilms tumor. We report on a case of Wilms tumor in a twenty-two-year-old black man. The tumor was removed with radical nephrectomy and classified as Stage II. Radiation of the renal fossa (4,000 rad) and chemotherapy with actinomycin D and vincristine were administered after surgery. Six years after surgery the patient is disease free. A review of published cases of adult Wilms tumor is presented, and a plea is made for triple therapy.
成人肾母细胞瘤仍被视为罕见病。据报道，成人肾母细胞瘤约有170例。最终诊断通常通过手术确定。目前尚无成人肾母细胞瘤的特异性影像学诊断方法。我们报告一例22岁黑人男性的肾母细胞瘤病例。该肿瘤通过根治性肾切除术切除，分类为Ⅱ期。术后对肾窝进行了4000拉德的放疗，并采用放线菌素D和长春新碱进行化疗。术后六年，患者无疾病复发。本文对已发表的成人肾母细胞瘤病例进行了综述，并呼吁采用三联疗法。
