Spontaneous rupture of adult Wilms' tumor

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dc.contributor.authorHeyns C.F.
dc.contributor.authorRossouw D.J.
dc.date.accessioned2011-05-15T16:15:51Z
dc.date.available2011-05-15T16:15:51Z
dc.date.issued1989
dc.description.abstractWilms' tumor is uncommon in adults, and spontaneous retroperitoneal hemorrhage as the presenting sign of renal malignancy also is rare. A 22-year-old man with spontaneous rupture of a Wilms' tumor, who died within 5 months, is described. The factors that probably contributed to his rapid demise included preoperative tumor spilling, unfavorable histology, and the omission of radiotherapy owing to poor patient compliance. Although Wilms' tumor is known to have a poorer prognosis in adults than in children, the reason for this is not known. Due to the limited number of cases reported, the optimal treatment for adult Wilms' tumor remains to be defined. However, the recent literature indicates that radical surgery combined with maximal radiotherapy dosage and modification of the chemotherapy schedules used in children may be required to improve the prognosis for adults with Wilms' tumor.
dc.description.versionArticle
dc.identifier.citationCancer
dc.identifier.citation64
dc.identifier.citation1
dc.identifier.issn0008543X
dc.identifier.urihttp://hdl.handle.net/10019.1/13520
dc.subjectadult
dc.subjectcase report
dc.subjectfatality
dc.subjecthistology
dc.subjecthuman
dc.subjecthuman cell
dc.subjectnephroblastoma
dc.subjectpriority journal
dc.subjectrupture
dc.subjectultrastructure
dc.subjectAdult
dc.subjectCase Report
dc.subjectCombined Modality Therapy
dc.subjectHuman
dc.subjectKidney Neoplasms
dc.subjectMale
dc.subjectNephroblastoma
dc.subjectPatient Compliance
dc.subjectRupture, Spontaneous
dc.titleSpontaneous rupture of adult Wilms' tumor
dc.typeArticle
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