Hepatic and retroperitoneal tumor resection for late metastases of a Wilms' tumor in an adult patient - A case report

Hepatic metastases after a Wilms' tumor in adult patients are seen extremel y rarely: A 21 year-old male patient developed liver metastases 13 years af ter resection of a primary left extrarenal Wilms' tumor. In this case, with out any other metastases, extended right curative hepatic lobectomy was per formed. The patient was re-admitted 4 months after the hepatic lobectomy fo r a resection of a new Wilms' tumor metastatic mass in the area of the panc reatic tail. The patient received adjuvant high dose systemic chemotherapy with ordinary bone marrow cell rescue after the 2nd operation. He is alive and well with no signs of new metastases 18 months after surgery and adjuva nt chemotherapy.