title: Utility of echocardiography in identifying right ventricular extension of Wilm's tumor.
abstract: We present a rare case of a child with a Wilm's tumor with an intravascular tumor-thrombus extending from the inferior vena cava to the right ventricle via the tricuspid valve. Rapid tumor progression resulted in life-threatening clinical deterioration. Radiologic and cardiac imaging demonstrated the extent of the intravascular extension of her tumor-thrombus. Emergency neo-adjuvant chemotherapy resulted in rapid clinical improvement, so that complete surgical excision was possible. Following multimodality therapy, the child is now in remission. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:262-264, 2015.
authors.affiliation: Department of Paediatric and Adolescent Oncology, The Great North Children's Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, United Kingdom.
authors.forename: Prasad
authors.initials: P
authors.lastname: Iyer
authors.affiliation: Department of Paediatric and Adolescent Oncology, The Great North Children's Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, United Kingdom.
authors.forename: Nidhi
authors.initials: N
authors.lastname: Sibal
authors.affiliation: Department of Paediatric Cardiology, Freeman Hospital, Newcastle upon Tyne, NE7 7DN, United Kingdom.
authors.forename: Milind
authors.initials: M
authors.lastname: Chaudhari
authors.affiliation: Department of Cellular Pathology, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, United Kingdom.
authors.forename: Katrina M
authors.initials: KM
authors.lastname: Wood
authors.affiliation: Department of Paediatric and Adolescent Oncology, The Great North Children's Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, United Kingdom.
authors.forename: Quentin
authors.initials: Q
authors.lastname: Campbell-Hewson
keywords: Wilm's tumor; chemotherapy; echocardiography