[Intraspinal metastasis of stage I anaplastic Wilms tumor].
OBJECTIVE
Intraspinal metastasis of Wilms' tumors is a rare event with only 6 cases documented in the literature.


METHODS
We report a case of an intraspinal metastasis by a young child with anaplastic Wilms' tumor (stage I). A 9-year-old girl developed 8 months following nephrectomy and pre-operative chemotherapy strong back pain. Within 2 weeks signs of beginning of spinal cord compression were obtained. The magnetic resonance imaging showed a spinal cord compression with an intraspinal tumor mass Th 8 to 10.


RESULTS
The child underwent immediate spinal cord decompression followed by chemotherapy and an additional radiotherapy of the metastatic region up to 30 Gy with most of neurologic recovery within 6 weeks.


CONCLUSIONS
The case illustrates the importance of rapidly responding neurologic complications in patients with Wilms' tumor, even in stage I.
Wiegel
T
T
Abteilung Strahlentherapie, Radiologischen Universitätsklinik, Hamburg-Eppendorf.
Grzyska
U
U
Schwarz
R
R
Escherich
G
G
D002648:Child; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D009392:Nephrectomy; D011879:Radiotherapy Dosage; D013117:Spinal Cord Compression / Q000209:etiology; D013125:Spinal Neoplasms / Q000175:diagnosis / Q000532:radiotherapy / Q000556:secondary*; D013997:Time Factors; D009396:Wilms Tumor / Q000473:pathology / Q000532:radiotherapy / Q000556:secondary*
Intraspinale Metastasierung eines anaplastischen Wilms-Tumors im Stadium I.