Published January 31, 2026 | Version V2
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Familial Metachronous Wilms' Tumour in a Sibling with Previous Bilateral Synchronous Wilms' Tumour: A Rare Familial Cluster

  • 1. Department of Pediatrics and Pediatric Surgery, Postgraduate Institute of Child Health & Research and KT Children Govt. University Teaching Hospital, Rajkot 360001, Gujarat, India
  • 2. Formerly Head, Department of Surgery at Tata Memorial Hospital, Mumbai, India
  • 3. J. Watumull Global Hospital & Research Centre, Delwara Road, Mount Abu, Rajasthan 307501, India Affiliated to Medical Faculty of God Fatherly Spiritual University, Mount Abu, Rajasthan, India

Description

Abstract

Wilms Tumour (WT) is the most common renal malignancy of childhood, typically occurring sporadically. Familial WT accounts for fewer than 2% of cases and often involves germline predisposition syndromes. Metachronous WT in siblings - particularly when one sibling previously presented with bilateral synchronous disease - is exceptionally rare. We report a case of a child presenting with unilateral WT whose older sibling had been treated several years earlier for bilateral synchronous WT. This case highlights the importance of familial risk assessment, genetic counselling, structured surveillance, and early detection strategies in families with suspected hereditary WT predisposition.

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Additional details

Dates

Submitted
2026-01-04
Accepted
2026-01-29
Available
2026-01-31