title: Triple therapy for adult Wilms tumor.
abstract: Adult Wilms tumor is still considered a rarity. Approximately 170 adult Wilms tumors have been reported. The final diagnosis is usually established with surgery. There is no specific radiologic diagnosis of adult Wilms tumor. We report on a case of Wilms tumor in a twenty-two-year-old black man. The tumor was removed with radical nephrectomy and classified as Stage II. Radiation of the renal fossa (4,000 rad) and chemotherapy with actinomycin D and vincristine were administered after surgery. Six years after surgery the patient is disease free. A review of published cases of adult Wilms tumor is presented, and a plea is made for triple therapy.
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003609:Dactinomycin / Q000008:administration & dosage; D006801:Humans; D007680:Kidney Neoplasms / Q000628:therapy*; D008297:Male; D009392:Nephrectomy; D011882:Radiotherapy, High-Energy; D014750:Vincristine / Q000008:administration & dosage; D009396:Wilms Tumor / Q000628:therapy*
chemical_list: D003609:Dactinomycin; D014750:Vincristine