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Wilms Tumor

Taylor BMT - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Wilms Tumor

History: 30 month old girl with right-sided abdominal mass.

Findings: • Initial study: - Large right-sided renal mass (12.2cm AP x 10.6cm Trans x 14.1cm CC). Predominantly hypodense w/ areas of heterogeneity. Possible cystic degeneration along superior border. - Classic “claw sign” demonstrating renal origination. - Significant mass effect on liver, pancreas, and inferior vena cava. - Non-opacification of right renal vein and mass effect on IVC limit evaluation for tumor thrombosis. - Right lower lobe ground glass opacity (3mm x 5mm). DDX includes metastatic, atelectasis, or infection. • After 6 weeks Doxorubicin (DD4A) therapy: - Decrease in right renal mass size (7.3cm AP x 8.4cm Trans x 11.7cm CC). - Increased calcification and heterogenicity of mass. - Continued mass effect on liver, adjacent IVC, and right renal vein. - IVC and right renal vein grossly patent. - Resolution of previously noted right lower lobe lung mass. - Internal reproductive organs within normal limits for age.

Ddx: • Wilms Tumor • Neuroblastoma • Multilocular Cystic Nephroma • Mesoblastic nephroma • Renal cell carcinoma

Dxhow: Tissue pathology

Exam: Asymptomatic right-sided abdominal mass.

No MeSH data available.


Superior margin of tumor demonstrating area of possible cystic degeneration.
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MPX2022_synpic51770: Superior margin of tumor demonstrating area of possible cystic degeneration.


Wilms Tumor

Taylor BMT - MedPix (2009)

Superior margin of tumor demonstrating area of possible cystic degeneration.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2022&req=5

MPX2022_synpic51770: Superior margin of tumor demonstrating area of possible cystic degeneration.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Wilms Tumor

History: 30 month old girl with right-sided abdominal mass.

Findings: • Initial study: - Large right-sided renal mass (12.2cm AP x 10.6cm Trans x 14.1cm CC). Predominantly hypodense w/ areas of heterogeneity. Possible cystic degeneration along superior border. - Classic “claw sign” demonstrating renal origination. - Significant mass effect on liver, pancreas, and inferior vena cava. - Non-opacification of right renal vein and mass effect on IVC limit evaluation for tumor thrombosis. - Right lower lobe ground glass opacity (3mm x 5mm). DDX includes metastatic, atelectasis, or infection. • After 6 weeks Doxorubicin (DD4A) therapy: - Decrease in right renal mass size (7.3cm AP x 8.4cm Trans x 11.7cm CC). - Increased calcification and heterogenicity of mass. - Continued mass effect on liver, adjacent IVC, and right renal vein. - IVC and right renal vein grossly patent. - Resolution of previously noted right lower lobe lung mass. - Internal reproductive organs within normal limits for age.

Ddx: • Wilms Tumor • Neuroblastoma • Multilocular Cystic Nephroma • Mesoblastic nephroma • Renal cell carcinoma

Dxhow: Tissue pathology

Exam: Asymptomatic right-sided abdominal mass.

No MeSH data available.