Updated
Updated · The Washington Post · Sep 5
Maria Morales Reaches 5-Year Remission After Stage 4 Wilms Tumor Misdiagnosis at 26
Updated
Updated · The Washington Post · Sep 5

Maria Morales Reaches 5-Year Remission After Stage 4 Wilms Tumor Misdiagnosis at 26

1 articles · Updated · The Washington Post · Sep 5

Summary

  • Five years after finishing chemotherapy in October 2020, Maria Morales remains in remission from Stage 4 Wilms tumor, a rare adult kidney cancer that had spread to her liver.
  • At 26, Morales first went to the ER with back and abdominal pain, where scans found a bleeding right-kidney mass that doctors repeatedly treated and monitored as a benign angiomyolipoma.
  • By July 2019, the mass was still enlarging and liver lesions had appeared; biopsies then identified Wilms tumor, and surgeons removed her kidney and tumor the next month after the growth had doubled in size.
  • More than a year of five-drug chemotherapy and radiation put the cancer into remission but caused severe complications, including 10 days in intensive care, chronic low platelets, early menopause and infertility.
  • Wilms tumor is diagnosed about 600 times a year in the U.S., with only about 3% of cases in adults, helping explain why Morales said she still wonders whether an earlier biopsy could have limited the damage.

Insights

Could an earlier biopsy have spared a young woman from permanent infertility and a harrowing battle with a childhood cancer?
Why did medical experts mistake a deadly stage four pediatric cancer for a harmless tumor in a young adult?
When standard imaging fails, how can patients protect themselves from the silent, aggressive growth of incredibly rare diseases?