Gujarat: 6kg renal mass removed from 27-year-old woman’s abdomen

VADODARA: In a complex surgery that lasted two-and-a-half hours, a 27-year-old woman from Madhya Pradesh (MP) got rid of a renal mass weighing six kg and more than 20 cm in size that occupied almost two-thirds of her abdomen.
Histopathological examination revealed that it was Wilms tumour.
The patient came to know of the rapidly increasing abdominal mass only after she suffered a miscarriage.She had amenorrhoea, a condition in which women face absence of menstrual periods.
“After her pregnancy test came positive, the woman was told that she had multiple pregnancies. But even after her miscarriage, the lump persisted. She consulted multiple clinics and hospitals and was in distress due to the pain and pressure caused by the massive lump,” said Dr Dipayan Nandy, onco surgeon at Parul Sevashram Hospital (PSH).
The CT scan and MRI at PSH revealed the presence of the huge mass in the left lumbar region involving the left kidney and adrenal gland.
“The challenge was to remove the mass without damaging critical organs like pancreas, spleen, left colon, stomach, duodeno-jejunal flexure, aorta and the left diaphragm,” said Dr Nandy.
“Although Wilms tumour is a type of childhood cancer that starts in the kidneys, in very rare cases it is also found in adults,” said Nandy, adding that less than 1% of all renal tumours in adults are Wilms tumour.