J Korean Soc Radiol.  2020 May;81(3):701-706. 10.3348/jksr.2020.81.3.701.

Botryoid Wilms Tumor in a Neonate Presenting with Fetal Hydronephrosis: A Case Report

Affiliations
  • 1Departments of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 2Departments of Pathology Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
  • 3Departments of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Abstract

Botryoid Wilms tumor, a very rare variant of Wilms tumor, arises from the pelvocalyceal system, and its occurrence in the fetal or neonatal period has never been reported in the literature. Herein, we report an exceedingly rare and challenging case of botryoid Wilms tumor in a neonate who initially presented with fetal hydronephrosis. Postnatal ultrasonography revealed multiple lobulating hypoechoic masses with varying degrees of intralesional vascularity within the dilated pelvocalyceal system. To our knowedge, this is a case report of botryoid Wilms tumor of the youngest child in English literature.

Keyword

Hydronephrosis; Magnetic Resonance Imaging; Wilms Tumor; Neonate; Ultrasonography
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