Page 232 - Abstract Book KONIKA 18

Hemato-Oncology

P-HO-012
Wilms’ Tumor: A Rare Case Report

Claresta, Ratna Setia Asih
Depati Hamzah Regional Hospital, Pangkalpinang, Bangka Belitung, Indonesia

Abstract
Background Wilms tumor is the most common renal tumor in children. It accounted for 6% of all
malignancies. The tumors often develop quite large before being noticed and most of them are unilateral.
Ultrasound, computed tomography, magnetic resonance imaging, and biopsy are routinely used to confirm
the diagnosis. Objective To report a case of Wilms’ tumor. Case A 7-year-old boy was brought to the
emergency department for abdominal pain and vomiting in the last 4 days before admission. An abdominal
mass was also noticed in the left side of the abdomen a month ago, this mass was small in the beginning then
quickly became larger. Physical examination showed hypertension, pale conjunctiva, and a soft abdomen
with diffuse tenderness over the upper left area. At the upper left side of the abdominal wall was a mass
with freely moveable and smooth edges. The CT scan showed a nodular solid mass approximately 9.5 cm x
4.8 cm with irregular edges and heterogenous echogenicity arising from the left kidney; appearances were
consistent with a left Wilm’s tumor. Hematologic assessment showed anemia. Biochemical assessment based
on urea, creatinine, liver transaminases, and electrolytes were within normal limits. Biopsy wasn’t done due
to inadequate facility. During hospitalization, he was treated with analgetic, anti-hypertensive drug, and blood
transfusion. On day 8, he was referred to a pediatric surgeon for further management. Conclusion Wilm’s
tumor can grow for a long time without any characteristic symptoms. Therefore, screening for Wilms’ tumor
is the key to early detection and management.
Keywords: Wilms’ tumor; children; abdominal mass

Figure 1. CT Scan images

184 KONIKA XVIII Abstract Book