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

Journal of the Korean Pediatric Society 2002;45(3):390-394.
Published online March 15, 2002.
A Case of Wilms Tumor with Thrombi which Invaded the Right Ventricule
Ji Hyun Uhm1, Sung Chul Won1, Chuhl Joo Lyu1, Chang Hyun Yang1, Byung Soo Kim1, Eui Ho Hwang2, Young Hwan Park3, Chang Ok 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
종양색전이 우심실까지 침범한 Wilms 종양 1례
엄지현1, 원성철1, 유철주1, 양창현1, 김병수1, 황의호2, 박영환3, 서창옥4
1연세대학교 의과대학 소아과학교실
2연세대학교 의과대학 외과학교실
3연세대학교 의과대학 흉부외과학교실
4연세대학교 의과대학 방사선종양학교실
Correspondence: 
Chuhl Joo 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.
Key Words: Wilms tumor, Tumor thrombi


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