Parameswaran Madhangi, Friedmann Alison M, Cote Gregory M, Salari Keyan, Harisinghani Mukesh G, Cochran Rory L
Department of Radiology, Massachusetts General Hospital, Boston MA.
Harvard Medical School, Cambridge MA.
Radiol Case Rep. 2025 Jan 10;20(3):1755-1759. doi: 10.1016/j.radcr.2024.12.062. eCollection 2025 Mar.
Wilms tumor (WT) is the most common primary renal malignancy in the pediatric population and has very good overall survival with contemporary treatment protocols. In contrast, WT in adults is extremely rare and is associated with a poorer prognosis. The clinical presentation and imaging features of WT in adults are nonspecific and overlap with other more common forms of renal cancer, often leading to a delay in diagnosis. Here we describe the imaging findings of a 27-year-old female with WT initially presenting with hematuria, right lower quadrant pain and fever.
肾母细胞瘤（WT）是儿科人群中最常见的原发性肾恶性肿瘤，采用当代治疗方案时总体生存率非常高。相比之下，成人肾母细胞瘤极为罕见，且预后较差。成人肾母细胞瘤的临床表现和影像学特征不具特异性，与其他更常见的肾癌形式重叠，常常导致诊断延迟。在此，我们描述一名27岁女性肾母细胞瘤患者的影像学表现，该患者最初表现为血尿、右下腹疼痛和发热。
