A case of Wilms' tumor presenting with direct intracardiac extension is described. The clinical features of this unusual complication are described from a review of previous cases. The presence of cardiac abnormalities in a child with a right-sided Wilms' tumor can suggest direct intracardiac extension.
Get full access to this article
View all access options for this article.
References
1.
D'Angio Gj, Evans WA, et al: The treatment of Wilms' tumor: results of the national Wilms' tumor study. Cancer38:633, 1976
2.
McDonald JR, Priestley JT: Malignant tumors of the kidney: surgical and prognostic significance of tumor thrombosis of the renal vein. Surg Gynecol Obstet77:295, 1943
3.
Redman JF, et al: Successful extraction of large intracaval isthmus of nephroblastoma . Urology4: 338, 1974
4.
Vaughan EDJr , Crosby IK, et al: Nephroblastoma with right atrial extension: pre-operative diagnosis and management. J Urol117:530, 1977
5.
Farooki ZQ, Green EW, Arciniegas E.: Echocardiographic pattern of right atrial tumour motion. Br Heart J38:580, 1976
6.
Farooki ZQ, Henry JG, Green EW: Echocatrdiographic diagnosis of right atrial extension of Wilms' tumor . Am J Card36:363, 1975
7.
Utley JT, Mobin-Uddin K., et al: Acute obstruction of tricuspid valve by Wilms' tumor. J Thorac Cardiovasc Surg66:626, 1973
8.
Anselmi G., Suarex JA, et al: Wilms' tumor propagated through the inferior vena cava into the right heart cavities. Br Heart J32:575, 1970
9.
Aytac A., Tuncali T., et al: Metastatic Wilms' tumor in the right atrium propagated through the inferior vena cava. Vasc Surg10:268, 1976
10.
Kolmannskog S., Moe PJ, Besigye E., Sørlie D.: Wilms' tumor with extension to the right atrium. Med Pedtr Oncol6:313, 1979
11.
Murphy DA, Rabinovitch H., et al: Wilms' tumor in the right atrium. Am J Dis Child126:210, 1973
12.
Osler W.: Two cases of striated myo-sarcoma of the kidney. J Anat Physiol14:229, 1879
13.
Schullinger JN, Santulli TV, et al: Wilms' tumor: role of right heart angiography in the management of selected cases. Ann Surg185:451, 1977
