title: Epidural metastasis in Wilms' tumor: a case report and review of the literature.
abstract: Spinal canal involvement is not a common pattern of metastasis in Wilms' tumor. Although early detection and treatment can achieve improvement of neurological deficit, mortality remains high. We present a 5-year-old girl who had an epidural metastasis while she was receiving chemotherapy for stage IV Wilms' tumor. Within 2 months following laminectomy, total removal of tumor, radiotherapy, and adjuvant chemotherapy some of the neurological signs improved.
authors.affiliation: Department of Radiation Oncology, University of Istanbul, Topkapi, Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Darendeliler
authors.forename: I
authors.initials: I
authors.lastname: Ayan
authors.forename: R
authors.initials: R
authors.lastname: Kebudi
authors.forename: L
authors.initials: L
authors.lastname: Ağaoğlu
authors.forename: N
authors.initials: N
authors.lastname: Bilge
authors.forename: M
authors.initials: M
authors.lastname: Kinay
mesh_terms: D002675:Child, Preschool; D015174:Epidural Neoplasms / Q000556:secondary*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D009396:Wilms Tumor / Q000556:secondary*