The nephroblastoma in adult. A three cases report.

The authors report three nephroblastoma's cases occurred in adult and treat ed at Ibn Rochd Oncology Center at Casablanca. The average of age was 24 ye ars (19-29 years) and the delay of diagnosis was five months (3-8 months). The most frequent clinical sign was a lumbar fossa mass. At diagnosis, radi ological exams revealed that patients presented an advanced stage and metas tatic disease in one case. The treatment was a total nephrectomy with gangl ionnar dissection when the tumor was resecable followed by chemotherapy and radiotherapy. Two patients was in progressive disease despite treatment, a nd one patient was lost at follow-up. The prognosis of adult's nephroblasto ma remains very severe, due to the advanced stage at diagnosis and the medi ocre reply to the treatment. (C) 2001 Editions scientifiques et medicales E lsevier SAS.