Liver metastases in Wilms' tumour.
Fifty patients with Wilms' tumour have been reviewed to evaluate the incidence of liver metastasis in order to identify the optimum time and frequency for radiological investigation. Liver involvement occurred in 12% of our cases. The most rewarding periods for the diagnosis of liver metastasis are the first few months of the illness, the period immediately after stopping chemotherapy, or any time that lung metastases are identified. Liver scintigraphy is recommended as the initial investigation, and abnormal cases should proceed to ultrasound or computed tomography.
D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007680:Kidney Neoplasms / Q000188:drug therapy; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D011877:Radionuclide Imaging; D013997:Time Factors; D009396:Wilms Tumor / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary*