Chemotherapy-induced cavitating Wilms' tumor pulmonary metastasis: Active disease or scarring? A case report and literature review.

Wilms’ tumor atypical metastasis cavitation chemotherapy computed-tomography lung metastasis nephroblastoma pulmonary metastasis

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2023
Historique:
received: 28 10 2022
accepted: 01 02 2023
entrez: 17 3 2023
pubmed: 18 3 2023
medline: 18 3 2023
Statut: epublish

Résumé

The second most common abdominal tumor in children is Wilms' tumor, and the lung is where it most often metastasizes. The typical metastases are multiple, peripherally located, round, and variable-sized nodules. Atypical patterns are also possible and may create diagnostic challenges, especially in patients treated with chemotherapy. Among these, cavitating metastases are an anecdotal type of atypical secondary lung lesions. Here, we report a case of a chemotherapy-induced cavitating Wilms' tumor pulmonary metastasis discovered during the follow-up for an anaplastic nephroblastoma in a 6-year-old girl. Furthermore, we conducted a review of the existing literature on this exceedingly rare radiological pattern to establish its best management.

Identifiants

pubmed: 36925669
doi: 10.3389/fped.2023.1083168
pmc: PMC10011097
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1083168

Informations de copyright

© 2023 Zarfati, Martucci, Crocoli, Serra, Persano and Inserra.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Angelo Zarfati (A)

General Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.
Department of Surgery, University of Rome Tor Vergata, Rome, Italy.

Cristina Martucci (C)

General Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

Alessandro Crocoli (A)

Surgical Oncology Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

Annalisa Serra (A)

Hematology/Oncology Unit, Department of Pediatric Hematology/Oncology Cell and Gene Therapy, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

Giorgio Persano (G)

Surgical Oncology Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

Alessandro Inserra (A)

General Surgery Unit, Department of Surgery, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy.

Classifications MeSH