Research Article| Volume 47, ISSUE 10, e11-e14, October 2012

Pelvic Wilms tumor in a child with an absent right kidney and spinal malformations


      Wilms tumor rarely occurs in other sites outside the kidney. Various congenital malformations often accompany Wilms tumor, but spinal deformations are rarely seen. We report a very rare association of multiple spinal malformations, right kidney absence, and pelvic Wilms tumor in a 21-month-old girl. The report includes a brief review of relevant literature.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Pediatric Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Varan A.
        Wilms' tumor in children: an overview.
        Nephron Clin Pract. 2008; 108: c83-c90
      1. Nagahara A, Kawagoe M, Matsumoto F, et al. Botryoid Wilms' tumor of the renal pelvis extending into the bladder. Urology, 2006, 67 (4): 845, e815-847.

        • Rasheed K.
        • O'Meara A.
        • Kelleher J.
        • et al.
        Extrarenal Wilms' tumor.
        Eur J Pediatr Surg. 1993; 3: 121-123
        • Andrews P.E.
        • Kelalis P.P.
        • Haase G.M.
        Extrarenal Wilms' tumor: results of the National Wilms' Tumor Study.
        J Pediatr Surg. 1992; 27: 1181-1184
        • Sakamoto J.
        • Takata A.
        • Fukuzawa R.
        • et al.
        A novel WT1 gene mutation associated with Wilms' tumor and congenital male genitourinary malformation.
        Pediatr Res. 2001; 50: 337-344
        • Fischbach B.V.
        • Trout K.L.
        • Lewis J.
        • et al.
        WAGR syndrome: a clinical review of 54 cases.
        Pediatrics. 2005; 116: 984-988
        • Alomari A.I.
        • Tham J.C.
        Denys-Drash syndrome (DDS).
        Pediatr Nephrol. 2006; 21: 1237-1240
        • Posalaky Z.
        • Drake R.M.
        • Mawk J.R.
        • et al.
        Ectopic immature renal tissue over the dorsum of lumbar and sacral area in two infants.
        Pediatrics. 1982; 69: 336-339
        • Govender D.
        • Hadley G.P.
        • Nadvi S.S.
        • et al.
        Primary lumbosacral Wilms tumour associated with occult spinal dysraphism.
        Virchows Arch. 2000; 436: 502-505
        • Emerson R.E.
        • Ulbright T.M.
        • Zhang S.
        • et al.
        Nephroblastoma arising in a germ cell tumor of testicular origin.
        Am J Surg Pathol. 2004; 28: 687-692
        • Kajtar P.
        • Weisenbach J.
        • Mehes K.
        Association of Wilms tumour with spina bifida occulta.
        Eur J Pediatr. 1990; 149: 594-595
        • Schumacher R.
        • Mai A.
        • Gutjahr P.
        Association of rib anomalies and malignancy in childhood.
        Eur J Pediatr. 1992; 151: 432-434
        • Abrahams J.M.
        • Pawel B.R.
        • Duhaime A.C.
        • et al.
        Extrarenal nephroblastic proliferation in spinal dysraphism. A report of 4 cases.
        Pediatr Neurosurg. 1999; 31: 40-44
        • Fernbach S.K.
        • Naidich T.P.
        • McLone D.G.
        • et al.
        Computed tomography of primary intrathecal Wilms tumor with diastematomyelia.
        J Comput Assist Tomogr. 1984; 8: 523-528
        • Sharma M.C.
        • Sarat Chandra P.
        • Goel S.
        • et al.
        Primary lumbosacral Wilms tumor associated with diastematomyelia and occult spinal dysraphism. A report of a rare case and a short review of literature.
        Childs Nerv Syst. 2005; 21: 240-243
        • Mehes K.
        • Weisenbach J.
        • Kajtar P.
        Association of wilms tumor with spinal dysraphism.
        J Pediatr Hematol Oncol. 2003; 20: 261-264
        • Kupeli S.
        • Tekkesin F.
        • Varan A.
        • et al.
        Wilms' tumor associated with vertebral anomalies.
        J Pediatr Hematol Oncol. 2008; 30: 394-395