All issues > Volume 45(3); 2002

Case Report

J Korean Pediatr Soc. 2002;45(3):390-394. Published online March 15, 2002.

A Case of Wilms Tumor with Thrombi which Invaded the Right Ventricule

Ji Hyun JH Uhm¹, Sung Chul SC Won¹, Chuhl Joo CJ Lyu¹, Chang Hyun CH Yang¹, Byung Soo BS Kim¹, Eui Ho EH Hwang², Young Hwan YH Park³, Chang Ok CO Seo⁴

¹Department of Pediatrics, College of Medicine, Yonsei University, Seoul, Korea
²Department of General Surgery, College of Medicine, Yonsei University, Seoul, Korea
³Department of Cardiovascular Surgery, College of Medicine, Yonsei University, Seoul, Korea
⁴Department of Pediatrics, Radiation Oncology, College of Medicine, Yonsei University, Seoul, Korea

Correspondence Chuhl Joo CJ Lyu ,Email: cj@yonsei.yumc.ac.kr

Abstract

College of Medicine, Yonsei University, Seoul, Korea Wilms tumor is the second most common malignant retroperitoneal tumor. Inferior vena cava and right atrial involvement is found in about 4-10% and 0.5-3% of cases, respectively. But, right ventricular involvement has not been reported. We experienced a case of Wilms tumor with right ventricular invasion in a 2 year-old male who presented intermittent hematuria and abdominal pain. Computed tomogram and echocardiogram showed a homogeneous mass extended to right ventricle via inferior vena cava. He received pre-operative chemotherapy followed by operation, radiation therapy including heart, and post-operative chemotherapy.

Keywords :Wilms tumor, Tumor thrombi