ISSN:
1432-1440
Keywords:
Nephroblastoma
;
Late recurrence
;
Combined treatment modalities
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary We report the case of a 25-year old female patient, who presented with intrapulmonary metastases of a Wilms' tumor nine and a half year after initial therapy of a stage I tumor with surgery, local radiation and combined chemotherapy. In general, relapses of Wilms' tumor occur within two year after nephrectomy. Reccurences after more than 7 years are very rare. A relapse of a Wilms' tumor in an adult patient after more than 9 years is not yet published. We treated our patient according to the therapeutic procedure, which is recommended by the National Wilms' Tumor Study as curative treatment of relapses in childhood: complete resection of pulmonary metastases, irradiation of the whole lunge and repeatingly combined chemotherapy with actinomycin D and vincristin. The patient is doing well without evidence of tumor 13 months after thoractomy. A short review of the literature is given.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01737946
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