Pulmonary metastases after nephrectomy only for small, stage I/favorable-histology Wilms' tumor.
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.
Shitara
Toshiji
T
Division of Hematology/Oncology, Gunma Children's Medical Center, 779 Shimohakoda, Hokkitsu, Seta-gun, Gunma 377-8577, Japan. shitara@gcmc.pref.gunma.jp
Tsuchida
Yoshiaki
Y
Hirato
Junko
J
Shimada
Akira
A
Murai
Hideaki
H
Suzuki
Norio
N
Kuroiwa
Minoru
M
Iwakawa
Mayumi
M
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*