Wilms' tumor to the heart: clinical and radiographic evaluation

Slovis, T. L.; Cushing, Barbara; Bj, Reilly; Farooki, ZQ; Ai, Philippart; We, Berdon; Baker, Dennis J.; Reed, JO

doi:10.2214/ajr.131.2.263

Cited by 27 publications

(4 citation statements)

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“…Secondly, the IVC particularly the intrahepatic segment must be examined carefully to exclude tumour thrombus [2,7,[18][19][20]. If the intrahepatic IVC is normal, then removal of the tumour mass and any thrombus is possible with a routine abdominal approach and routine anaesthesia, without further evaluation.…”

Section: Discussionmentioning

confidence: 99%

“…However, if the intrahepatic IVC is not demonstrated or tumour thrombus is identified in this segment or fight atrium, the IVC should be outlined by retrograde and antegrade venography [18,19].…”

Section: Discussionmentioning

confidence: 99%

“…Although some pitfalls in ultrasound diagnosis of Wilms' tumour have been described [10] few authors have emphasized the importance of demonstrating the inferior vena cava [2,7,[18][19][20] particularly the intrahepatic segment, and little attention has been paid to the ultrasound features of Wilms' tumour which help to distinguish from other commonly occurring loin masses, particularly neuroblastoma [1,4,8,11].…”

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confidence: 99%

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Ultrasound of Wilms' tumor

Campo

1986

Pediatr Radiol

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The grey scale ultrasound features of 30 cases of Wilms' tumour examined using a water delay scanner are presented. Eighty-seven percent of masses were of uniform texture, with echogenicity equal to or slightly greater than that of liver with small hypo-echoic areas. There were no totally cystic tumours in the series. In 21 cases the mass was clearly arising from the ipsilateral kidney, but in 9 cases the ipsilateral kidney could not be distinguished from the tumour. The state of the intrahepatic inferior vena cava (IVC) was correctly diagnosed in 27 cases and further evaluation was needed in two patients in whom this segment could not be demonstrated. If this segment is sonographically normal, then the IVC need not be evaluated further. Differential diagnosis is discussed, with particular reference to neuroblastoma. In the majority of patients ultrasound is the only modality needed to diagnose Wilms' tumour pre-operatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Ultrasound of Wilms' tumor

Campo

1986

Pediatr Radiol

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“…Nephroblastoma (Wilms tumor) is one of the most common intra-abdominal tumors of childhood [1], It grows by direct extension [2] and exhibits a marked ten dency to invade vascular structures. A rare but dangerous complication is the extension of the nephroblastoma into the right atrium via the inferior vena cava (IVC).…”

Section: Introductionmentioning

confidence: 99%

Wilms Tumor with Intracardiac Neoplastic Extension

Pannek¹,

Goepel²,

Kremens

et al. 1994

Urol Int

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A rare case of a Wilms tumor with intracardiac neoplastic extension is presented. The good prognosis of even extensive nephroblastoma is the reason for attempting a radical surgical approach to patients with intracardiac tumor thrombus. The exact preoperative delineation of the intracasal tumor extension is essential for a safe and successful operation. Ultrasonography in combination with echocardiography is the preferred modality for detecting intracardiac extension.

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