Preoperative therapy for intracaval and atrial extension of wilms tumor

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Intracaval and intracardiac extension of Wilms' tumor. The influence of preoperative chemotherapy on surgical morbidity.

OBJECTIVES The aim of this retrospective study is to compare surgical complications and long-term survival in children with Wilms' tumor (WT) and tumor thrombus receiving or not preoperative chemotherapy. MATERIALS AND METHODS Review of the charts of 155 children with WT treated between 1983 and 2005, and analysis of 16/155 (10.3%) children with WT who presented cavoatrial tumor extension, be...

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Successful treatment of intracaval and atrial extension of Wilms' tumour by chemotherapy.

A patient presenting with advanced Wilm's tumour was diagnosed as having inferior vena cava involvement with tumour thrombus extending up to the right atrium, and was treated with preoperative chemotherapy (vincristine, actinocymin D, epirubicin). Atrial and inferior vena cava thrombus disappeared and he underwent a successful nephrectomy.

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Adult Wilms Tumor with Intracaval and Intracardiac Extension: Report of a Case and Review of Literature

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 partially differentiated WT with intracaval and intracardiac extension in a 54-year-old man. The morphologic and immunohistochemical findings confirmed the diagnosis.

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Wilms tumor with intracardiac neoplastic extension.

A rare case of a Wilms tumor with intracardiac neoplastic extension is presented. The good prognosis of even extensive nephroblastoma is the reason for attempting a radical surgical approach to patients with intracardiac tumor thrombus. The exact preoperative delineation of the intracasal tumor extension is essential for a safe and successful operation. Ultrasonography in combination with echoc...

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Adult Wilms’ tumor – diagnosis and current therapy

INTRODUCTION Wilms' tumour is one of the commonest malignant tumours of childhood. It appears mainly in the first 5 years of life. Incidental examples of nephroblastoma in adults have been described in literature (about 3% of all described cases). There are diagnostic and therapeutic difficulties in that older age group. The preoperative diagnosis of nephroblastoma in adults is difficult becaus...

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ژورنال

عنوان ژورنال: Cancer

سال: 1993

ISSN: 0008-543X,1097-0142

DOI: 10.1002/1097-0142(19930615)71:12<4104::aid-cncr2820711249>3.0.co;2-7