J Korean Pediatr Soc.
2002 Mar;45(3):390-394.
A Case of Wilms Tumor with Thrombi which Invaded the Right Ventricule
- Affiliations
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- 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
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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.