Wilms' Tumor With Intra-Atrial Extension: Treatment and Management

World J Pediatr Congenit Heart Surg. 2016 Jan;7(1):116-9. doi: 10.1177/2150135115583728.

Abstract

Wilms' tumor is the most common renal cancer in children. It can grow for a long time without any characteristic symptoms, causing only fever, abdominal pain, nausea, or vomiting, which is the reason why it is often discovered accidentally. In 1% to 4% of the cases, nephroblastoma leads to complications in the form of intravascular and intra-atrial extension. We present a case of a five-year-old boy with Wilms' tumor extending into the inferior vena cava, right atrium, and then prolapsing through the tricuspid valve into the right ventricle.

Keywords: atrium; kidney tumor; pediatric; tricuspid valve.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Surgical Procedures / methods
  • Child, Preschool
  • Diagnosis, Differential
  • Heart Atria
  • Heart Neoplasms / diagnosis
  • Heart Neoplasms / secondary*
  • Heart Neoplasms / surgery
  • Heart Ventricles / pathology*
  • Heart Ventricles / surgery
  • Humans
  • Kidney Neoplasms / pathology*
  • Kidney Neoplasms / surgery
  • Male
  • Neoplasm Metastasis
  • Nephrectomy
  • Wilms Tumor / diagnosis
  • Wilms Tumor / secondary*
  • Wilms Tumor / surgery