A Case of Wilms Tumor with a Tumor Thrombus in a Boy with WAGR Syndrome

Intravascular extension of Wilms tumor (WT) can occur in approximately 4-10% of patients. In general, it does not cause any clinical problems because most of these tumors are small. Although there is no standard treatment currently, preoperative chemotherapy and delayed nephrectomy is generally reco...

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Main Authors: Soojung Lee, Hyo Jin Kim, In-sang Jeon
Format: Article
Language:English
Published: The Korean Society of Pediatric Hematology-Oncology 2020-10-01
Series:Clinical Pediatric Hematology-Oncology
Subjects:
Online Access:https://doi.org/10.15264/cpho.2020.27.2.134
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author Soojung Lee
Hyo Jin Kim
In-sang Jeon
author_facet Soojung Lee
Hyo Jin Kim
In-sang Jeon
author_sort Soojung Lee
collection DOAJ
description Intravascular extension of Wilms tumor (WT) can occur in approximately 4-10% of patients. In general, it does not cause any clinical problems because most of these tumors are small. Although there is no standard treatment currently, preoperative chemotherapy and delayed nephrectomy is generally recommended for children with WT accompanied by tumor thrombus. We report a rare case of WT, aniridia, genitourinary anomalies, and mental retardation (WAGR) syndrome in a boy who also had a huge inferior vena cava thrombus, 7 cm length. The prevalence of bilateral WT and tumor thrombus in WAGR has not been identified. The patient was successfully treated with neoadjuvant chemotherapy to decrease the size of the tumor thrombus with WT and delayed nephrectomy following chemotherapy without any invasive intervention and did not show complications.
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spelling doaj.art-60e5aa60437b4a9892aa50ecb464df232022-12-22T00:13:27ZengThe Korean Society of Pediatric Hematology-OncologyClinical Pediatric Hematology-Oncology2233-52502020-10-0127213413710.15264/cpho.2020.27.2.134cpho.2020.27.2.134A Case of Wilms Tumor with a Tumor Thrombus in a Boy with WAGR SyndromeSoojung Lee0Hyo Jin Kim1In-sang Jeon2Department of Pediatrics, Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaDepartment of Pediatrics, Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaDepartment of Pediatrics, Gil Medical Center, Gachon University College of Medicine, Incheon, KoreaIntravascular extension of Wilms tumor (WT) can occur in approximately 4-10% of patients. In general, it does not cause any clinical problems because most of these tumors are small. Although there is no standard treatment currently, preoperative chemotherapy and delayed nephrectomy is generally recommended for children with WT accompanied by tumor thrombus. We report a rare case of WT, aniridia, genitourinary anomalies, and mental retardation (WAGR) syndrome in a boy who also had a huge inferior vena cava thrombus, 7 cm length. The prevalence of bilateral WT and tumor thrombus in WAGR has not been identified. The patient was successfully treated with neoadjuvant chemotherapy to decrease the size of the tumor thrombus with WT and delayed nephrectomy following chemotherapy without any invasive intervention and did not show complications.https://doi.org/10.15264/cpho.2020.27.2.134wagr syndromewilms tumortumor thrombusinferior vena cava
spellingShingle Soojung Lee
Hyo Jin Kim
In-sang Jeon
A Case of Wilms Tumor with a Tumor Thrombus in a Boy with WAGR Syndrome
Clinical Pediatric Hematology-Oncology
wagr syndrome
wilms tumor
tumor thrombus
inferior vena cava
title A Case of Wilms Tumor with a Tumor Thrombus in a Boy with WAGR Syndrome
title_full A Case of Wilms Tumor with a Tumor Thrombus in a Boy with WAGR Syndrome
title_fullStr A Case of Wilms Tumor with a Tumor Thrombus in a Boy with WAGR Syndrome
title_full_unstemmed A Case of Wilms Tumor with a Tumor Thrombus in a Boy with WAGR Syndrome
title_short A Case of Wilms Tumor with a Tumor Thrombus in a Boy with WAGR Syndrome
title_sort case of wilms tumor with a tumor thrombus in a boy with wagr syndrome
topic wagr syndrome
wilms tumor
tumor thrombus
inferior vena cava
url https://doi.org/10.15264/cpho.2020.27.2.134
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