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.
引用
收藏
页数:5
相关论文
共 19 条
[11]   Partial nephrectomy for unilateral Wilms tumor: Results of study SIOP 93-01/GPOH [J].
Haecker, FM ;
Von Schweinitz, D ;
Harms, D ;
Buerger, D ;
Graf, N .
JOURNAL OF UROLOGY, 2003, 170 (03) :939-942
[12]   Clinical features, treatment, and outcomes of bilateral Wilms' tumor: A systematic review and meta-analysis [J].
Han, Qilei ;
Li, Kai ;
Dong, Kuiran ;
Xiao, Xianmin ;
Yao, Wei ;
Liu, Gongbao .
JOURNAL OF PEDIATRIC SURGERY, 2018, 53 (12) :2465-2469
[13]   Risk Factors for End Stage Renal Disease in Non-WT1-Syndromic Wilms Tumor [J].
Lange, Jane ;
Peterson, Susan M. ;
Takashima, Janice R. ;
Grigoriev, Yevgeny ;
Ritchey, Michael L. ;
Shamberger, Robert C. ;
Beckwith, J. Bruce ;
Perlman, Elizabeth ;
Green, Daniel M. ;
Breslow, Norman E. .
JOURNAL OF UROLOGY, 2011, 186 (02) :378-386
[14]   Contrast-Enhanced Ultrasound in Renal Imaging and Intervention [J].
Olson, Michael C. ;
Abel, E. Jason ;
Gettle, Lori Mankowski .
CURRENT UROLOGY REPORTS, 2019, 20 (11)
[15]   Paediatric genitourinary cancers and late effects of treatment [J].
Sadak, Karim T. ;
Ritchey, Michael L. ;
Dome, Jeffrey S. .
NATURE REVIEWS UROLOGY, 2013, 10 (01) :15-25
[16]  
Sidhu PS, 2018, ULTRASCHALL MED, V39, pE2, DOI 10.1055/a-0586-1107
[17]   Role of Contrast-Enhanced Ultrasound (CEUS) in Paediatric Practice: An EFSUMB Position Statement [J].
Sidhu, Paul S. ;
Cantisani, Vito ;
Deganello, Annamaria ;
Dietrich, Christoph F. ;
Duran, Carmina ;
Franke, Doris ;
Harkanyi, Zoltan ;
Kosiak, Wojciech ;
Miele, Vittorio ;
Ntoulia, Aikaterini ;
Piskunowicz, Maciej ;
Sellars, Maria E. ;
Gilja, Odd Helge .
ULTRASCHALL IN DER MEDIZIN, 2017, 38 (01) :33-43
[18]   Contrast enhanced ultrasound of renal masses. A reappraisal of EFSUMB recommendations and possible emerging applications [J].
Sparchez, Zeno ;
Radu, Pompilia ;
Sparchez, Mihaela ;
Crisan, Nicolae ;
Kacso, Gabriel ;
Petrut, Bogdan .
MEDICAL ULTRASONOGRAPHY, 2015, 17 (02) :219-226
[19]   US-guided Percutaneous Microwave Ablation versus Open Radical Nephrectomy for Small Renal Cell Carcinoma: Intermediate-term Results [J].
Yu, Jie ;
Liang, Ping ;
Yu, Xiao-Ling ;
Cheng, Zhi-gang ;
Han, Zhi-yu ;
Zhang, Xu ;
Dong, Jun ;
Mu, Meng-juan ;
Li, Xin ;
Wang, Xiao-hui .
RADIOLOGY, 2014, 270 (03) :880-887