title: Adult Wilms tumor: Case report.
abstract: Wilms tumor (WT) occurs infrequently in adults. Even rarer is adult WT with extension by direct intravascular spread into the right side of the heart. The present report describes a WT with intracaval and intracardiac extension in a 38-year-young man. In addition, thrombus extension above the infrahepatic IVC represents a major technical topic for surgeons because of the possible occurrence of uncontrollable hemorrhages and tumor fragmentation. We report the results of a surgical approach to caval thrombosis including the isolation of the IVC from the liver as routinely performed during liver harvesting. The morphologic and immune-histochemical findings confirmed the diagnosis.
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy. Electronic address: vemorabito@gmail.com.
authors.forename: V
authors.initials: V
authors.lastname: Morabito
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy. Electronic address: nicola.guglielmo@libero.it.
authors.forename: N
authors.initials: N
authors.lastname: Guglielmo
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy. Electronic address: fabio.melandro@uniroma1.it.
authors.forename: F
authors.initials: F
authors.lastname: Melandro
authors.affiliation: Department of CardioSurgery and Heart Transplant, Sapienza University of Rome, Italy. Electronic address: giuseppe.mazzesi@uniroma1.it.
authors.forename: G
authors.initials: G
authors.lastname: Mazzesi
authors.affiliation: Department of Molecular Medicine, Sapienza University of Rome, Italy. Electronic address: francescoalesini@live.it.
authors.forename: F
authors.initials: F
authors.lastname: Alesini
authors.affiliation: Department of Molecular Medicine, Sapienza University of Rome, Italy. Electronic address: sandro.bosco@uniroma1.it.
authors.forename: S
authors.initials: S
authors.lastname: Bosco
authors.affiliation: Department "Paride Stefanini", General Surgery and Organ Transplant, Sapienza University of Rome, Italy. Electronic address: pasquale.berloco@uniroma1.it.
authors.forename: P B
authors.initials: PB
authors.lastname: Berloco
keywords: Caval thrombosis; Intracardiac extension; Nephrectomy; Wilmor tumors