Brain Metastases of Wilms Tumor in Adult - Rare Case Report.

Brain Metastases of Wilms Tumor in Adult - Rare Case Report.:

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Brain Metastases of Wilms Tumor in Adult - Rare Case Report.

World Neurosurg. 2020 Apr 03;:

Authors: Caramanti RL, Aprígio RM, de Moraes DF, Rocha CEDA, Meguins LC, Goes MJ, da Costa MD, Chaddad F

Abstract

BACKGROUND: Wilms tumor is a rare renal tumor in adults. In our knowledge a small number of cases of brain metastasis were reported in literature. The authors report a case of 29-year-old female with headache and dizziness, which a parietal mass with pathological diagnosis of Wilms tumor metastasis.

CASE DESCRIPTION: A 29-year-old man was admitted with a 3-month history of lumbar pain and 2 months of progressive headache, associated with dizziness. Abdomen MRI showed a renal mass. In the post operatory of thenephrectomy the neurological signs worsened and a head MRI presented in the right parietal lobe, convexity, heterogeneous lesion with little perilesional edema. The patient underwent a complete surgical resection with success. The adjuvant treatment was chemotherapy.

CONCLUSION: In our knowledge there are a small number of cases of brain metastasis of Wilms tumor reported in literature. Surgical management is considered in cases with intracranial hypertension or focal signs. The adjuvant treatment options are immunotherapy and chemotherapy.

PMID: 32251828 [PubMed - as supplied by publisher]