Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a 13 year old female who had recently developed fatigue and malaise. Past medical history was remarkable for having had bilateral Wilms tumors at age 6 months, treated by left partial nephrectomy and right total nephrectomy.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Recurrent Wilms tumor
A chest film showed a soft tissue density in the right cardiophrenic angle. A chest CT exam demonstrated that initial mass, and a second one in the azygo-esophageal recess.
Images 2 and 3
Imaging Differential Diagnosis:
The patient underwent a thoracotomy and both lesions were removed.
Pathological examination of the surgical specimen showed both lesions to be metastatic Wilms tumor involving the lung and visceral pleura.
Metastases, Pulmonary from Wilms Tumor
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course. The patient restarted chemotherapy.
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2017 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.