BILATERAL WILMS TUMOR PRESENTING WITH ACUTE RENAL-FAILURE AND CLINICAL FINDINGS MIMICKING CARDIAC-FAILURE

被引：1

作者：

HOLBROOK, CT

CRIST, WM

KOHAUT, EC

BUNTAIN, WL

机构：

[1] Departments of Pediatrics and Surgery, Comprehensive Cancer Center, University of Alabama, Birmingham

来源：

MEDICAL AND PEDIATRIC ONCOLOGY | 1979年 / 7卷 / 02期

关键词：

acute renal failure; bilateral Wilms tumor; cardiac failure; pulmonary artery metastases (or thromboembolization);

D O I：

10.1002/mpo.2950070204

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

A six‐year‐old girl presented with clinical signs and symptoms of right‐sided heart failure. Cardiac catheterization demonstrated filling defects in both pulmonary arteries felt to represent metastatic lesions or thromboemboli. Intravenous pyelogram revealed bilateral renal masses and intrarenal obstruction. Acute renal failure was unresponsive to standard therapy. An open renal biopsy revealed Wilms tumor with favorable histology. Aggressive chemotherapy and irradiation were undertaken and renal function returned. This case adds to the heterogeneity of presentations described for Wilms tumor, and review of the literature reveals no other cases with similar presenting signs. Copyright © 1979 Wiley‐Liss, Inc., A Wiley Company

引用

页码：117 / 121

页数：5

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