Combined surgical and interventional management of a 3-year-old patient with bilateral nephroblastoma

被引:0
作者
Petrut, Bogdan [1 ,3 ]
Surd, Adrian [1 ]
Cosnarovici, Rodica Voichita [2 ]
Hardo, Vasile Vlad [3 ]
Rahota, Razvan George [3 ]
Bujoreanu, Cristina Eliza [3 ]
Sparchez, Zeno Adrian [1 ]
机构
[1] Iuliu Hatieganu Univ Med & Pharm, Victor Babes St 8, Cluj Napoca 400000, Romania
[2] Prof Dr Ion Chiricuta Inst Oncol, Dept Pediat Oncol, Republicii St 34-36, Cluj Napoca 400015, Romania
[3] Prof Dr Ion Chiricuta Inst Oncol, Dept Urol, Republicii St 34-36, Cluj Napoca 400015, Romania
关键词
Bilateral nephroblastoma; Nephrectomy; Partial nephrectomy; CONTRAST-ENHANCED ULTRASOUND; GUIDED RADIOFREQUENCY ABLATION; RADICAL NEPHRECTOMY; SPARING SURGERY; WILMS-TUMOR; RECOMMENDATIONS; CEUS;
D O I
10.1016/j.epsc.2020.101439
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We present the case of a 3-year-old female patient diagnosed with stage V bilateral nephroblastoma with predominant blastemal component. The treatment protocol included preoperative chemotherapy, left partial nephrectomy, and postoperative chemotherapy. After full recovery, partial right nephrectomy was performed, combined with left radical nephrectomy due to the suspicion of a local subcapsular recurrence. A small remaining tumoral lesion was treated by percutaneous microwave ablation with favorable postoperative recovery. Nephroblastoma raises a challenging diagnostic and treatment protocol, requiring a multimodal and multidisciplinary approach of the pediatric patient.
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页数:5
相关论文
共 19 条
[1]   CT-guided radiofrequency ablation of pediatric Wilms tumor in a solitary kidney [J].
Brown, SD ;
vanSonnenberg, E ;
Morrison, PR ;
Diller, L ;
Shamberger, RC .
PEDIATRIC RADIOLOGY, 2005, 35 (09) :923-928
[2]   Pediatric genitourinary tumors [J].
Buckley, Kevin S. .
CURRENT OPINION IN ONCOLOGY, 2011, 23 (03) :297-302
[3]   Oncologic outcomes of partial versus radical nephrectomy for unilateral Wilms Tumor [J].
Cost, Nicholas G. ;
Lubahn, Jessica D. ;
Granberg, Candace F. ;
Schlomer, Bruce J. ;
Wickiser, Jonathan E. ;
Rakheja, Dinesh ;
Gargollo, Patricio C. ;
Leonard, David ;
Raj, Ganesh V. ;
Baker, Linda A. ;
Margulis, Vitaly .
PEDIATRIC BLOOD & CANCER, 2012, 58 (06) :898-904
[4]   Early and Late Mortality After Diagnosis of Wilms Tumor [J].
Cotton, Cecilia A. ;
Peterson, Susan ;
Norkool, Patricia A. ;
Takashima, Janice ;
Grigoriev, Yevgeny ;
Breslow, Norman E. .
JOURNAL OF CLINICAL ONCOLOGY, 2009, 27 (08) :1304-1309
[5]   Image Based Feasibility of Renal Sparing Surgery for Very Low Risk Unilateral Wilms Tumors: A Report from the Children's Oncology Group [J].
Ferrer, F. A. ;
Rosen, N. ;
Herbst, K. ;
Fernandez, C. V. ;
Khanna, G. ;
Dome, J. S. ;
Mullen, E. ;
Gow, K. W. ;
Barnhart, D. C. ;
Shamberger, R. C. ;
Ritchey, M. ;
Ehrlich, P. .
JOURNAL OF UROLOGY, 2013, 190 (05) :1846-1851
[6]   Nephron-sparing surgery in synchronous bilateral Wilms' tumors [J].
Fuchs, J ;
Wünsch, L ;
Flemming, P ;
Weinel, P ;
Mildenberger, H .
JOURNAL OF PEDIATRIC SURGERY, 1999, 34 (10) :1505-1509
[7]   Combined computed tomography-guided radiofrequency ablation and brachytherapy in a child with multiple recurrences of Wilms' tumor [J].
Gandhi, S ;
Meech, SJ ;
Puthawala, MA ;
Ferguson, WS ;
Cardarelli, GA ;
Dupuy, DE .
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY, 2005, 27 (07) :377-379
[8]  
Garbajs M, 2016, J BUON, V21, P685
[9]   The treatment of stages I-IV favorable histology Wilms' tumor [J].
Green, DM .
JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (08) :1366-1372
[10]   Clinical application of contrast-enhanced ultrasound after percutaneous renal tumor ablation [J].
Guo, Fang ;
Hu, Bing ;
Chen, Lei ;
Li, Jia .
BRITISH JOURNAL OF RADIOLOGY, 2019, 92 (1103)