PMID- 7598037
OWN - NLM
STAT- MEDLINE
DCOM- 19950803
LR  - 20061115
IS  - 0018-1994 (Print)
IS  - 0018-1994 (Linking)
VI  - 41
IP  - 5
DP  - 1995 May
TI  - [A case of adult Wilms' tumor with vena caval involvement].
PG  - 369-72
AB  - The patient was a 35-year-old female with the chief complaint of macrohematuria. 
      Computerized tomographic (CT) scan, ultrasonography and magnetic resonance 
      imaging (MRI) revealed the presence of a large and inhomogeneous mass in the left 
      kidney, and a tumor thrombus growing in the inferior vena cava. Angiography also 
      showed a hypervascular tumor in the left kidney. The chest X-ray and CT scan 
      demonstrated multiple metastatic lesions in the bilateral lungs. Radical 
      nephrectomy and thrombectomy was performed under the diagnosis of left renal 
      tumor with its invasion of inferior vena cava. Pathological findings revealed 
      that this tumor was nephroblastoma, and its type was clear cell sarcoma of the 
      kidney (CCSK). The patient received chemotherapy according to National Wilms' 
      Tumor Study (NWTS) IV chemotherapeutic drug regimen. In general, CCSK is known to 
      have poor prognosis. However, doxorubicin has been reported to have a relatively 
      good antitumor effect for CCSK. However, in this case, the evaluation after the 
      first course of chemotherapy was progressive disease, because some new lesions 
      appeared, although most old pulmonary metastatic lesions were reduced.
FAU - Baba, K
AU  - Baba K
AD  - Department of Urology, Fukushima Medical College.
FAU - Yamaguchi, O
AU  - Yamaguchi O
FAU - Nomiya, M
AU  - Nomiya M
FAU - Hashimoto, T
AU  - Hashimoto T
FAU - Yoshimura, Y
AU  - Yoshimura Y
FAU - Shiraiwa, Y
AU  - Shiraiwa Y
FAU - Sato, Y
AU  - Sato Y
FAU - Iwaya, F
AU  - Iwaya F
FAU - Hoshino, S
AU  - Hoshino S
LA  - jpn
PT  - Case Reports
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Hinyokika Kiyo
JT  - Hinyokika kiyo. Acta urologica Japonica
JID - 0421145
SB  - IM
MH  - Adult
MH  - Carcinoma, Renal Cell/diagnosis
MH  - Diagnosis, Differential
MH  - Female
MH  - Humans
MH  - Kidney Neoplasms/*pathology
MH  - Lung Neoplasms/secondary
MH  - Neoplasm Invasiveness
MH  - Prognosis
MH  - Soft Tissue Neoplasms/*pathology
MH  - Vascular Diseases/pathology
MH  - Vena Cava, Inferior/*pathology
MH  - Wilms Tumor/*pathology/secondary
EDAT- 1995/05/01 00:00
MHDA- 1995/05/01 00:01
CRDT- 1995/05/01 00:00
PHST- 1995/05/01 00:00 [pubmed]
PHST- 1995/05/01 00:01 [medline]
PHST- 1995/05/01 00:00 [entrez]
PST - ppublish
SO  - Hinyokika Kiyo. 1995 May;41(5):369-72.