Fortis Escorts, Okhla Achieves India’s First Successful Treatment Of Bilateral Wilms Tumour In Children
For the first time in India, doctors at Fortis Escorts, Okhla, successfully treated a 6-year-old boy from Uzbekistan with Bilateral Wilms Tumour-a rare form of pediatric kidney cancer.
He had bilateral kidney tumors. The chemotherapy done in Uzbekistan was not going to help, and his family sought further advanced care in India. Dr. Paresh Jain, Director of Urology & Kidney Transplant, led a talented team that did a groundbreaking procedure called a kidney auto-transplant. The surgery lasted for eight hours, but the child came out very smooth.
Initial evaluations showed that the left kidney was badly damaged, and it was not feasible to attempt resection of the tumor completely. In August 2024, surgeons performed a laparoscopic right partial nephrectomy, excising the diseased portion of the right kidney and the lymph nodes. The boy underwent biopsy of the left kidney. Chemotherapy was continued in Uzbekistan post-surgery. A follow-up in November was good.
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After a period of treatment, the doctors noticed that on the left kidney, thick tissues covered it and were the after-products of past surgeries. For this, surgeons operated on it by removing a small portion through an incision on the abdomen to ensure proper removal of a tumor without injuring any of its vital organs such as blood vessels and urinary channels. All were accurately reconstructed before putting in a cancer-free kidney. This avoided maternal kidney donation and lifelong immunosuppression in order to maintain both the child's and his mother's health.
Dr Jain added, "This case is important; Wilms Tumour usually manifests in very young children and advances to a condition that requires immediate surgical intervention. It is the 17th of its kind in the whole world and the first case reported in India. We managed to prevent multiple transplants during his lifetime by preserving the natural functioning of his kidney.".
She further added, "The doctors at Fortis gave us hope and saved our son's life. He is now healthy, playing, and smiling again."
Dr Vikram Aggarwal, Facility Director, Fortis Escorts, said, "This achievement stands testimony to the multidisciplinary expertise of the hospital and commitment to excellence in healthcare.".