A rare occurrence of neonatal nephroblastoma in sub-saharan Africa: a case report and management in a resource-constrained region.
Neonatal nephroblastoma has been rarely reported in African neonate. A premature newborn (a 5-day-old male) was transferred with a history of neonatal abdominal mass. Ultrasonography revealed 75×46 mm, well-defined mass with mixed echogenicity replacing the right kidney. The patient underwent right radical nephrectomy and the tumor was confirmed to be a blastemal predominant Wilms' tumor by the histopathological examination and has an unfavorable prognosis. The child died secondary to multiple organ failure, three days after surgery. Our case report serves to remind us the need to bear in mind the possibility of the diagnosis of neonatal nephroblastoma in neonate with renal mass.
Division of Hematology/Oncology and Nephrology, Department of Pediatrics, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Féfé Khuabi
FK
Matondo
Division of Hematology/Oncology and Nephrology, Department of Pediatrics, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Aléine Nzazi
AN
Budiongo
Division of Neonatology, Department of Pediatrics, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Bruno Muyala
BM
Tady
Division of Pathology, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Bienvenu Massamba
BM
Lebwaze
Division of Radiology, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Michel Tshikwela
MT
Lelo
Division of Hematology/Oncology and Nephrology, Department of Pediatrics, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Jean Lambert
JL
Gini-Ehungu
Division of Pediatric Surgery, Department of Surgery, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Idesbald
I
Mwepu
Division of Neonatology, Department of Pediatrics, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Emmanuel Dimbu
ED
Nkidiaka
Division of Hematology/Oncology and Nephrology, Department of Pediatrics, University Hospital of Kinshasa School of Medicine, University of Kinshasa , Democratic Republic of Congo.
Michel Ntetani
MN
Aloni
Kinshasa; neonates; nephroblastoma; renal tumors; the Democratic Republic of Congo