Wilms tumor (WT) occurs infrequently in adults. Even rarer is adult WT with extension by direct intravascular spread into the right side of the heart. The present report describes a WT with intracaval and intracardiac extension in a 38-year-young man. In addition, thrombus extension above the infrahepatic IVC represents a major technical topic for surgeons because of the possible occurrence of uncontrollable hemorrhages and tumor fragmentation. We report the results of a surgical approach to caval thrombosis including the isolation of the IVC from the liver as routinely performed during liver harvesting. The morphologic and immune-histochemical findings confirmed the diagnosis
Adult Wilms tumor: Case report / Morabito, VINCENZO EMILIANO; Guglielmo, Nicola; Melandro, Fabio; Mazzesi, Giuseppe; Alesini, Francesco; Bosco, Sandro; Berloco, P. B.. - In: INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS. - ISSN 2210-2612. - STAMPA. - 6C:(2015), pp. 273-276. [10.1016/j.ijscr.2014.06.021]
Adult Wilms tumor: Case report
MORABITO, VINCENZO EMILIANO;GUGLIELMO, NICOLA;MELANDRO, FABIO;MAZZESI, Giuseppe;ALESINI, FRANCESCO;BOSCO, Sandro;
2015
Abstract
Wilms tumor (WT) occurs infrequently in adults. Even rarer is adult WT with extension by direct intravascular spread into the right side of the heart. The present report describes a WT with intracaval and intracardiac extension in a 38-year-young man. In addition, thrombus extension above the infrahepatic IVC represents a major technical topic for surgeons because of the possible occurrence of uncontrollable hemorrhages and tumor fragmentation. We report the results of a surgical approach to caval thrombosis including the isolation of the IVC from the liver as routinely performed during liver harvesting. The morphologic and immune-histochemical findings confirmed the diagnosisI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
