J Korean Pediatr Soc.  2002 Mar;45(3):390-394.

A Case of Wilms Tumor with Thrombi which Invaded the Right Ventricule

Affiliations
  • 1Department of Pediatrics, College of Medicine, Yonsei University, Seoul, Korea. cj@yonsei.yumc.ac.kr
  • 2Department of General Surgery, College of Medicine, Yonsei University, Seoul, Korea.
  • 3Department of Cardiovascular Surgery, College of Medicine, Yonsei University, Seoul, Korea.
  • 4Department of Radiation Oncology, College of Medicine, Yonsei University, Seoul, Korea.

Abstract

Wilms tumor is the second most common malignant retroperitoneal tumor. Inferior vena cava and right atrial involvement is found in about 4-10% and 0.5-3% of cases, respectively. But, right ventricular involvement has not been reported. We experienced a case of Wilms tumor with right ventricular invasion in a 2 year-old male who presented intermittent hematuria and abdominal pain. Computed tomogram and echocardiogram showed a homogeneous mass extended to right ventricle via inferior vena cava. He received pre-operative chemotherapy followed by operation, radiation therapy including heart, and post-operative chemotherapy.

Keyword

Wilms tumor; Tumor thrombi

MeSH Terms

Abdominal Pain
Child, Preschool
Drug Therapy
Heart
Heart Ventricles
Hematuria
Humans
Male
Vena Cava, Inferior
Wilms Tumor*
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