title: Late relapsing Wilms tumor with rhabdomyomatous differentiation.
abstract: The authors report a patient with abdominally relapsed Wilms tumor with rhabdomyomatous differentiation leading to renal failure and death 9 years after the initial diagnosis. The patient was treated with intensive chemotherapy because of inoperable tumor but no response was obtained. The prognosis of children with Wilms tumor relapsed in abdomen and in previously irradiated fields is poor and intensive chemotherapy protocols for differentiated tumors after chemotherapy will increase the risk of complications without obvious benefit.
authors.affiliation: Gazi University Medical Faculty, Department of Pediatric Oncology, Ankara, Turkey. fgpinarli@gazi.edu.tr
authors.forename: Faruk Güçlü
authors.initials: FG
authors.lastname: Pinarli
authors.forename: Aynur
authors.initials: A
authors.lastname: Oğuz
authors.forename: Ceyda
authors.initials: C
authors.lastname: Karadeniz
authors.forename: Aylar
authors.initials: A
authors.lastname: Poyraz
authors.forename: Oznur
authors.initials: O
authors.lastname: Konuş
authors.forename: Cağlar
authors.initials: C
authors.lastname: Citak
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D002454:Cell Differentiation; D002675:Child, Preschool; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D012008:Recurrence; D012207:Rhabdomyoma / Q000473:pathology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D009396:Wilms Tumor / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology* / Q000532:radiotherapy
chemical_list: D000970:Antineoplastic Agents