成人巨大肾母细胞瘤二次复发术后肺转移1例报道

The Postoperative Relapse in a Giant Adult Wilms’ Tumor with Lung Metastasis: A Case Report

摘要: 肾母细胞瘤(Wilms’ Tumor)是儿童最常见的肾脏肿瘤，占儿童全部肿瘤的6%~7%。而在成人，肾母细胞瘤的发生极为罕见，进展迅速；且同儿童肾母细胞瘤患者相比，成人肾母细胞瘤患者的预后更差。迄今，关于成人肾母细胞瘤的治疗仍在进一步完善当中。本文报道一例33岁成年男性巨大肾母细胞瘤患者术后复发及肺转移的治疗过程，探讨了当前的治疗进展，并对疾病的治疗过程进行了回顾性的分析。 Wilms’ tumor (nephroblastoma) is the most common renal tumor that occurs in children, accounting for 6% to 7% of all childhood tumors. However, it is extremely rare in adults, and the clinical course of adult Wilms’ tumor is very aggressive. In addition, adult Wilms’ tumor has a worse prognosis compared with Wilms’ tumor that occurs in children. To date, there are no defined treatment protocols for adults. Here, we report the treatment course for recurrence and lung metastasis of giant adult Wilms’ tumor in a case of 33-year-old male, review the literatures for the treatment outcome and discuss the treatment course of this case retrospectively.