Late recurrence of Wilms tumor in a low-middle income country: A case report with fatal outcome from Haiti.

We describe a rare case of late pulmonary recurrence of Wilms tumor, occurring 7 years after initial remission, observed at Saint-Damien Hospital (HSD) in Haiti. The medical team identified a persistent cough in the child and confirmed the diagnosis through chest imaging. The child received chemotherapy and radiotherapy with clinical improvement but without significant radiological response, unfortunately leading to a fatal outcome. This outcome highlights the need for action to improve childhood cancer care in Haiti. It will be challenging to improve pediatric oncology capacity, whether in terms of infrastructure, training, or access to treatment without a clear commitment from health authorities.