Bilateral nephroblastoma accounts for 4-8% of all Wilms tumors (WT). Nephroblastomatosis (NB) is characterized by the presence of numerous or diffuse nephrogenic rests (NRs). These lesions are always present in bilateral nephroblastoma and can be better recognized using computed tomography (CT). Treatment is a comprehensive strategy that includes chemotherapy, surgery, and radiotherapy. Bilateral nephroblastoma accompanied with NB is uncommon, leading to inconsistent treatment options and a lack of standard methods and facilities in our region. A 4-year-old boy died from bilateral nephroblastoma due to inadequate treatment and facilities. A new protocol adaptor tailored to the reality of developing countries would be able to address this issue.

Keywords: Bilateral nephroblastoma, 4 year old boy, Nephroblastomatosis

Jerry NYAMUGABO (MD) General physician, Msc in Healthcare Management, Currently at Girne American University (Turkish Republic of Northern Cyprus), department of General Medicine and citizen of Democratic Republic of Congo born in Bukavu South Kivu