Synchronous bilateral Wilms tumour: A case report with review of literature

Abstract

Wilms tumour is the most common malignant renal tumour in childhood. Approximately 5–7% of Wilms tumour patients present with bilateral disease, either synchronously or metachronously. However, its association with hypospadias is seen in only 1.8% cases. Synchronous bilateral Wilms tumour poses the special challenge of establishing local tumour control while preserving renal function. We describe the case of synchronous bilateral Wilms tumour associated with hypospadias in a 1-year-old male child. A review of the aetiology, demographics, diagnosis and imaging, staging and treatment of Wilms tumour with emphasis on bilateral disease will be presented.