PMID- 7544723 OWN - NLM STAT- MEDLINE DCOM- 19950929 LR - 20190909 IS - 8755-1039 (Print) IS - 1097-0339 (Linking) VI - 12 IP - 4 DP - 1995 Jun TI - Alteration of Wilms' tumor staging by cytologic detection of malignant cells in chylous ascites. PG - 357-9 AB - Accurate staging as per National Wilms' Tumor Study (NWTS) criteria is essential for therapy of Wilms' tumor. We report a unique case of a 9-mo-old white male in whom the diagnosis based upon clinical, radiological, surgical, and initial histopathologic findings was Stage I Wilms' tumor without regard to a positive cytologic examination of a small amount (5 ml) of chylous ascitic fluid obtained intraoperatively. This problem was clarified later at the NWTS panel review when the deeper recuts of a renal hilar lymph node revealed a single cluster of Wilms' tumor cells in capsular sinus, resulting in upstaging of tumor to Stage III. The significance of these findings in relation to staging will be discussed. FAU - Baliga, M AU - Baliga M AD - Department of Pathology, University of Mississippi Medical Center, Jackson 39216, USA. FAU - Holmquist, N AU - Holmquist N FAU - Warrier, R P AU - Warrier RP LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Diagn Cytopathol JT - Diagnostic cytopathology JID - 8506895 SB - IM MH - Chyle/*cytology MH - Chylous Ascites/*pathology MH - Humans MH - Infant MH - Kidney Neoplasms/*pathology MH - Male MH - Neoplasm Staging MH - Staining and Labeling MH - Wilms Tumor/*pathology EDAT- 1995/06/01 00:00 MHDA- 1995/06/01 00:01 CRDT- 1995/06/01 00:00 PHST- 1995/06/01 00:00 [pubmed] PHST- 1995/06/01 00:01 [medline] PHST- 1995/06/01 00:00 [entrez] AID - 10.1002/dc.2840120415 [doi] PST - ppublish SO - Diagn Cytopathol. 1995 Jun;12(4):357-9. doi: 10.1002/dc.2840120415.