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Wilms¡¯ Tumor in a Horseshoe Kidney

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ÀÌ»óÇå, ¹è¹ÎÈ£, ÃÖ¼ºÈ£, ÀÌÁø¼®, Á¶¿µ»ï, ÁÖ°üÁß, Kwon Chil-Hun, ¹ÚÈïÀç,
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ÀÌ»óÇå ( Lee Sang-Hun ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Urology

¹è¹ÎÈ£ ( Bae Min-Ho ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Urology
ÃÖ¼ºÈ£ ( Choi Sung-Ho ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Urology
ÀÌÁø¼® ( Lee Jin-Seok ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Urology
Á¶¿µ»ï ( Cho Young-Sam ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Urology
ÁÖ°üÁß ( Joo Kwan-Joong ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Urology
 ( Kwon Chil-Hun ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Urology
¹ÚÈïÀç ( Park Heung-Jae ) 
Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Urology

Abstract


The incidence of horseshoe kidney is about 1 in 400 cases. The presence of Wilms¡¯ tumor with a horseshoe kidney is unusual, and the occurrence of Wilms¡¯ tumor in a horseshoe kidney is estimated at 0.4 to 0.9% of all Wilms¡¯ tumors. We report the case of a 5-year-old boy who presented with a stage IV Wilms¡¯ tumor in a horseshoe kidney. The patient was treated with preoperative chemotherapy followed by surgical resection and adjuvant chemotherapy. This case illustrates the role of preoperative chemotherapy for preserving renal function and aims to highlight the multimodality treatment of Wilms¡¯ tumor.

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Adjuvant chemotherapy; Neoadjuvant therapy; Wilms tumor

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