Bilateral Wilms' tumor.A review

Ragab, Abdelsalam H.; Vietti, Teresa J.; Crist, William M.; Pérez, Carlos A.; McAllister, William

doi:10.1002/1097-0142(197210)30:4<983::aid-cncr2820300419>3.0.co;2-3

Cited by 45 publications

(4 citation statements)

References 27 publications

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“…The incidence of bilateral adrenal neurobla toma is lower than that of Wilms's tumor (14) or retinoblastoma (9). We found 18 ca es of bilateral adrenal neuroblastoma including our own two cases between 1967 and 1992 in the English and Japanese literature (2-4, 6, 7, 10-13, 15, 16, 18).…”

Section: Discussionmentioning

confidence: 99%

Bilateral Adrenal Neuroblastoma

Ishiguro¹,

Iio²,

Seo³

et al. 1994

Eur J Pediatr Surg

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Two cases of bilateral adrenal neuroblastoma in infants are reported. The first patient presented with abdominal distension due to metastatic hepatomegaly and the second patient was found because of elevated urinary VMA by VMA mass-screening system. Both were under one year of age and were classified as stage IVs neuroblastoma. In each case unilateral adrenalectomy was performed and the contra-lateral adrenal tumor was observed. The remaining tumors slowly decreased in size and clinical progress was good. A review of published cases of bilateral adrenal neuroblastoma suggests that the characteristics of this disease are age less than 1 year, stage IVs, and good prognosis.

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Section: Discussionmentioning

confidence: 99%

Bilateral Adrenal Neuroblastoma

Ishiguro¹,

Iio²,

Seo³

et al. 1994

Eur J Pediatr Surg

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“…It remains stage dependent; however, anaplastic histology has recently been shown to have even greater unfavorable prognostic import [ 101 . Ragab et a1 [4] in 1972 reported that of 70 patients with bilateral Wilms tumor, 28 were considered cured (two-year survival rate of 40%). Recent data provide two-year survival rates in excess of 87% following surgery, combination chemotherapy, and irradiation [5] .…”

Section: Discussionmentioning

confidence: 99%

“…Its incidence in the United States is 7.8 cases per million population per year (ages 1 through 14) [2]. Bilateral Wilms tumor was first described by Rance in 1814 [3], and has been noted to account for 4-12% of all cases of Wilms tumor [4] . A recent review of 606 patients describes 33 (5.4%) who had bilateral Wilms tumor at presentation and an additional 20 (3.3%) who subsequently developed bilateral involvement [5] .…”

Section: Introductionmentioning

confidence: 99%

Bilateral wilms tumor presenting with acute renal failure and clinical findings mimicking cardiac failure

Holbrook

Crist

Kohaut

et al. 1979

Med. Pediatr. Oncol.

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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.

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“…In general, treatment of bilateral Wilms' tu-mor must be highly individualized and, based on recent reviews, may be summarized as follows [6, 18, .47]: in all caes of Wilms' tumor, both kidneys should be thoroughly palpated or inspected. Originally, surgical attitudes favored gross total removal of tumor by nephrectomy, nephrectomy plus contralateral partial nephrectomy, or bilateral partial nephrectomy while sparing enough tissue ( 15%-35%) [41 ] to ensure adequate renal function. More recent publications [26] suggest that a more conservative surgical approach may be appropriate, stressing biopsy at initial exploration with subsequent second-and third-look operations and preservation of at least 60% of renal tissue.…”

Section: Treatmentmentioning

confidence: 99%

Synchronous bilateral Wilm's tumor in the adolescent and adult

1987

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Bilateral Wilms' tumor in the adolescent and adult is extremely rare, with only four previous cases reported. Theories as to the etiology of this entity and a review of the demographics, diagnosis, staging, and treatment of Wilms' tumor with emphasis on bilateral disease and the older patient are presented. Current approaches to the patient with an atypical presentation of Wilms' tumor can result in excellent results similar to those seen with the more typical presentation.

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Bilateral Wilms' tumor.A review

Cited by 45 publications

References 27 publications

Bilateral Adrenal Neuroblastoma

Bilateral Adrenal Neuroblastoma

Bilateral wilms tumor presenting with acute renal failure and clinical findings mimicking cardiac failure

Synchronous bilateral Wilm's tumor in the adolescent and adult

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