Utility of echocardiography in identifying right ventricular extension of Wilm's tumor.

J Clin Ultrasound

Department of Paediatric and Adolescent Oncology, The Great North Children's Hospital, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, United Kingdom.

Published: May 2015

AI Article Synopsis

  • A child was diagnosed with Wilm's tumor that had spread into the inferior vena cava and extended to the right ventricle of the heart.
  • The rapid growth of the tumor-thrombus caused severe health complications, which were identified through imaging techniques.
  • After emergency chemotherapy, the child's condition improved quickly, allowing for successful surgical removal of the tumor, and she is now in remission.

Article Abstract

We present a rare case of a child with a Wilm's tumor with an intravascular tumor-thrombus extending from the inferior vena cava to the right ventricle via the tricuspid valve. Rapid tumor progression resulted in life-threatening clinical deterioration. Radiologic and cardiac imaging demonstrated the extent of the intravascular extension of her tumor-thrombus. Emergency neo-adjuvant chemotherapy resulted in rapid clinical improvement, so that complete surgical excision was possible. Following multimodality therapy, the child is now in remission. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:262-264, 2015.

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http://dx.doi.org/10.1002/jcu.22174DOI Listing

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