A strategy for resection of Wilms' tumor with vena cava or atrial extension
Resection of a Wilms' tumor that extends into the vena cava or right atrium results in excellent survival when combined with adjuvant therapy. Preoperative identification of the presence of intravascular tumor thrombus and the level of vascular involvement is essential. It facilitates safe surg...
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| Veröffentlicht in: | Journal of pediatric surgery 1992-07, Vol.27 (7), p.912-915 |
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| container_issue | 7 |
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| container_title | Journal of pediatric surgery |
| container_volume | 27 |
| creator | Raleigh Thompson, W. Newman, Kurt Seibel, Nita Bulas, Dorothy Kapur, Sudesh Anderson, Kathryn D. Randolph, Judson |
| description | Resection of a Wilms' tumor that extends into the vena cava or right atrium results in excellent survival when combined with adjuvant therapy. Preoperative identification of the presence of intravascular tumor thrombus and the level of vascular involvement is essential. It facilitates safe surgical resection, with cardiopulmonary bypass immediately available for retrohepatic and atrial tumors. Six patients with intracaval or intracardiac tumor thrombus were treated over a 5-year period with no perioperative deaths. Preoperative chemotherapy was useful in two patients with extensive tumors and pulmonary metastases. Our results using an integrated management plan suggest that an aggressive surgical approach is justified for this extensive variant of Wilms' tumor. |
| doi_str_mv | 10.1016/0022-3468(92)90397-P |
| format | Article |
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Preoperative identification of the presence of intravascular tumor thrombus and the level of vascular involvement is essential. It facilitates safe surgical resection, with cardiopulmonary bypass immediately available for retrohepatic and atrial tumors. Six patients with intracaval or intracardiac tumor thrombus were treated over a 5-year period with no perioperative deaths. Preoperative chemotherapy was useful in two patients with extensive tumors and pulmonary metastases. 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Preoperative identification of the presence of intravascular tumor thrombus and the level of vascular involvement is essential. It facilitates safe surgical resection, with cardiopulmonary bypass immediately available for retrohepatic and atrial tumors. Six patients with intracaval or intracardiac tumor thrombus were treated over a 5-year period with no perioperative deaths. Preoperative chemotherapy was useful in two patients with extensive tumors and pulmonary metastases. Our results using an integrated management plan suggest that an aggressive surgical approach is justified for this extensive variant of Wilms' tumor.</description><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Cardiopulmonary Bypass</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Heart Atria</subject><subject>Heart Neoplasms - drug therapy</subject><subject>Heart Neoplasms - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Preoperative Care</subject><subject>Vascular Diseases - drug therapy</subject><subject>Vascular Diseases - surgery</subject><subject>Vena Cava, Inferior</subject><subject>Wilms Tumor - drug therapy</subject><subject>Wilms Tumor - surgery</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMotVbfQCEL8bIYTSZJZ2YjlOINC3ahuAyZ5IxG5qJJWu3bm9pSd64OnPP9P4cPoUNKLiihw0tC0jRhfJifFel5QViRJdMt1KeC0UQQlm2j_gbZRXvevxMS14T2UI-yNOUi76OHEfbBqQCvC1x1DjvwoIPtWtxV-MXWjT_FYdbEy5cNb3gOrcJazRWOGxWcVTWG7wCtj5F9tFOp2sPBeg7Q88310_gumTze3o9Hk0RzKkJCRSmY0SDyodF5mZOSkcJQAbmO0xihWGWAUV4qEEWktAECkJEypaTUFRugk1Xvh-s-Z-CDbKzXUNeqhW7mZRb7SCZYBPkK1K7z3kElP5xtlFtISuTSoVwKkktBskjlr0M5jbGjdf-sbMD8hVbS4v14fVdeq7pyqtXWbzA-FDznPGJXKwyii7kFJ7220Gow1kXH0nT2_z9-AGR2jaw</recordid><startdate>19920701</startdate><enddate>19920701</enddate><creator>Raleigh Thompson, W.</creator><creator>Newman, Kurt</creator><creator>Seibel, Nita</creator><creator>Bulas, Dorothy</creator><creator>Kapur, Sudesh</creator><creator>Anderson, Kathryn D.</creator><creator>Randolph, Judson</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19920701</creationdate><title>A strategy for resection of Wilms' tumor with vena cava or atrial extension</title><author>Raleigh Thompson, W. ; Newman, Kurt ; Seibel, Nita ; Bulas, Dorothy ; Kapur, Sudesh ; Anderson, Kathryn D. ; Randolph, Judson</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-15b53dce586dc8b80b309d15e8c09ddd5a3fde314bae59586cde0ee70b210bcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Algorithms</topic><topic>Biological and medical sciences</topic><topic>Cardiopulmonary Bypass</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Heart Atria</topic><topic>Heart Neoplasms - drug therapy</topic><topic>Heart Neoplasms - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Preoperative Care</topic><topic>Vascular Diseases - drug therapy</topic><topic>Vascular Diseases - surgery</topic><topic>Vena Cava, Inferior</topic><topic>Wilms Tumor - drug therapy</topic><topic>Wilms Tumor - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Raleigh Thompson, W.</creatorcontrib><creatorcontrib>Newman, Kurt</creatorcontrib><creatorcontrib>Seibel, Nita</creatorcontrib><creatorcontrib>Bulas, Dorothy</creatorcontrib><creatorcontrib>Kapur, Sudesh</creatorcontrib><creatorcontrib>Anderson, Kathryn D.</creatorcontrib><creatorcontrib>Randolph, Judson</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Raleigh Thompson, W.</au><au>Newman, Kurt</au><au>Seibel, Nita</au><au>Bulas, Dorothy</au><au>Kapur, Sudesh</au><au>Anderson, Kathryn D.</au><au>Randolph, Judson</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A strategy for resection of Wilms' tumor with vena cava or atrial extension</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1992-07-01</date><risdate>1992</risdate><volume>27</volume><issue>7</issue><spage>912</spage><epage>915</epage><pages>912-915</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><coden>JPDSA3</coden><abstract>Resection of a Wilms' tumor that extends into the vena cava or right atrium results in excellent survival when combined with adjuvant therapy. 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| ispartof | Journal of pediatric surgery, 1992-07, Vol.27 (7), p.912-915 |
| issn | 0022-3468 1531-5037 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Algorithms Biological and medical sciences Cardiopulmonary Bypass Child Child, Preschool Female Heart Atria Heart Neoplasms - drug therapy Heart Neoplasms - surgery Humans Male Medical sciences Nephrology. Urinary tract diseases Preoperative Care Vascular Diseases - drug therapy Vascular Diseases - surgery Vena Cava, Inferior Wilms Tumor - drug therapy Wilms Tumor - surgery |
| title | A strategy for resection of Wilms' tumor with vena cava or atrial extension |
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