Abstract
The prognosis for children with Wilms’ tumor is reported to be excellent in those who are less than 2 years of age at diagnosis and who have a stage I/favorable-histology tumor with specimen weight less than 550 g. We report on a patient with Wilms’ tumor who belonged to this group but who developed pulmonary metastases, and we discuss the diagnostic and therapeutic problems in such patients. The importance of careful evaluation of the renal sinus should be emphasized.
References
Green DM, Breslow NE, Beckwith JB et al (1993) Treatment outcomes in patients less than 2 years of age with small, stage I, favorable-histology Wilms’ tumors: a report from the National Wilms’ Tumor Study. J Clin Oncol 11:91–95
Green DM, Breslow NE, Beckwith JB et al (2001) Treatment with nephrectomy only for small, stage I/favorable histology Wilms’ tumor: a report from the National Wilms’ Tumor Study Group. J Clin Oncol 19:3719–3724
Beckwith JB (1998) National Wilms’ Tumor Study: an update for pathologists. Pediatr Dev Pathol 1:79–84
D’Angio GJ, Breslow N, Beckwith JB, et al (1989) Treatment of Wilms’ tumor: results of the 3rd National Wilms’ Tumor Study. Cancer 64:349–360
Urano N (1988) Tumors of the urinary system. In: Committee on histological classification of childhood tumors, the Japanese pathological society edition. Second series of the histological classification and atlas of tumors in infancy and childhood 1, 1st edn. Kanehara Shuppan, Tokyo
Weeks DA, Beckwith IB, Luckey DW (1987) Relapse associated variables in stage I favorable histology Wilms’ tumor: a report from the National Wilms’ Tumor Study. Cancer 60:1204–1212
Acknowledgments
The authors are deeply grateful to Dr. C. Ogawa, Department of Pediatrics, Gunma University School of Medicine, for her special care of the patient in her final stage.
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Shitara, T., Tsuchida, Y., Hirato, J. et al. Pulmonary metastases after nephrectomy only for small, stage I/favorable-histology Wilms’ tumor. Ped Surgery Int 21, 470–473 (2005). https://doi.org/10.1007/s00383-005-1418-5
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DOI: https://doi.org/10.1007/s00383-005-1418-5