title: Pulmonary metastases after nephrectomy only for small, stage I/favorable-histology Wilms' tumor.
abstract: The prognosis for children with Wilms' tumor is reported to be excellent in those who are less than 2 years of age at diagnosis and who have a stage I/favorable-histology tumor with specimen weight less than 550 g. We report on a patient with Wilms' tumor who belonged to this group but who developed pulmonary metastases, and we discuss the diagnostic and therapeutic problems in such patients. The importance of careful evaluation of the renal sinus should be emphasized.
authors.affiliation: Division of Hematology/Oncology, Gunma Children's Medical Center, 779 Shimohakoda, Hokkitsu, Seta-gun, Gunma 377-8577, Japan. shitara@gcmc.pref.gunma.jp
authors.forename: Toshiji
authors.initials: T
authors.lastname: Shitara
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Tsuchida
authors.forename: Junko
authors.initials: J
authors.lastname: Hirato
authors.forename: Akira
authors.initials: A
authors.lastname: Shimada
authors.forename: Hideaki
authors.initials: H
authors.lastname: Murai
authors.forename: Norio
authors.initials: N
authors.lastname: Suzuki
authors.forename: Minoru
authors.initials: M
authors.lastname: Kuroiwa
authors.forename: Mayumi
authors.initials: M
authors.lastname: Iwakawa
mesh_terms: D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007223:Infant; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008175:Lung Neoplasms / Q000473:pathology / Q000556:secondary*; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness; D009392:Nephrectomy; D009396:Wilms Tumor / Q000601:surgery*