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2010-06-14-13 Answer to the case of the week #282 © Ha
Answer to the case of the week #282

December 2, 2010 - December 16, 2010.

Nguyen Ha, MD.

Director of Imaging Diagnosis Department, Maternal Tudu Hospital, 284 Cong Quynh St Dist 1, Hochimin City, Vietnam. 

Case report

This is a case 28-year-old G1 P0 who was referred to our department at 32 weeks of gestation. Her family and personal history was non-contributive. The ultrasound scan showed a round vascularized mass in the right kidney. There was an increased amount of the amniotic fluid as well, AFI=41 cm. Our differential diagnosis included: Mesoblastic nephroma and Wilms' tumor.

Patient delivered via emergency cesarean section due to the risk of hypoxia. The ultrasound scan performed after delivery confirmed a kidney tumor. The neonate underwent nephrectomy. The final diagnosis according to the pathologist was Wi
lms' tumor. The baby is 4 months old at the moment and underwent 6 series of chemotherapy already.

Images 1,2: Image 1 shows a parasagittal section of the fetal abdomen showing the round capsulated cystic lesion in the renal region. Image 2 shows a transverse view of the abdomen with a tumor in the right kidney. Left kidney is of a normal appearance.

Images 3,4: Image 3 shows a transverse view of the kidney tumor. Image 4 shows a vascularization of the tumor.

Images 5,6: Images show a vascularization of the tumor.

Images 7: Enlarged amount of the amniotic fluid.

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