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Bahrami Children Hospital
Tehran University of Medical Sciences
Bahrami Children Hospital Tehran University of Medical Sciences - - PowerPoint PPT Presentation
Bahrami Children Hospital Tehran University of Medical Sciences - - PowerPoint PPT Presentation
Bahrami Children Hospital Tehran University of Medical Sciences Thrombosis in Wilm s Tumor M.A.Ehsani Pediatrician,Hem.&Onc. Bahrami Hospital Tehran university of Medical Sciences XII IPHOS Congress 1398/6/27 Urmia
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Thrombosis in Wilm’s Tumor
M.A.Ehsani
Pediatrician,Hem.&Onc. Bahrami Hospital Tehran university of Medical Sciences XII –IPHOS Congress 1398/6/27 Urmia
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Introduction:
- Wilm's tumor and renal cell
carcinoma are the most common of renal thrombosis.
- lymphomas, primary renal Burkitt
lymphoma (BL) is rare.
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- Surgery is the most
prognostic factor in Wilm's tumor
- utcome.
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Case1:
- 7 years old girl
- Abdominal mass in July
2009(Mordad1388).
- Tumor thrombi was extend from right
kidney to renal vein, inferior vena cava, right atrium and present in right ventricle.
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Case1( Continue):
- The kidney biopsy is done on 19th August 2009
(1388/05/28).
- Pathology report was Wilm’s tumor Favorable
histology.
- Protocol NWTS-4( D-4A) was began.
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Case1( Continue):
- Total right nephrectomy and thrombectmy
was performed on19th October 2009(1388/07/27) with coupling of Pediatric surgeon and Heart Surgeon.
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Case1( Continue):
- Radiotherapy and chemotherapy continued
till 26th September 2010( 1389/07/04).
- At present the patient is free of tumor
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Case2:
- A 4 years old boy who referred with clot in
urine and fever was admitted as UTI.
- Left renal mass is detected with renal vein
thrombosis.
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Case2( Continue):
- Total left nephrectomy and thrombectmy
was performed on7th July 2017(1396/04/16) with coupling of Pediatric surgeon and Vascular Surgeon.
- Protocol NWTS-4( D-4A) was began at the
time of
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Case2( Continue):
- The first Pathology report was Renal Cell
Carcinoma.
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Case2( Continue):
- The first Pathology report was Renal Cell
Carcinoma.
- The review of Pathology report was Wilm’s
tumor Rhabdoid type (Unfavorable histology).
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Case2( Continue):
- After the pathology report the ICE and
VDC protocol substituted.
- Chemotherapy continued till 7th May 2018
(1397/2/17).
- At present the patient is free of tumor.
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Case3:
- A 2.5 years old boy who referred with Left
abdominal mass.
- Tumor thrombi was extend from right
kidney to renal vein, inferior vena cava, right atrium .
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Case3( Continue):
- مکش یفارگونوس شرازگ:
- لقادح داعبا اب گرزب رایسب هدوت(129رد95رتمیلیم )
لحم زا هک کیتسیس تارییغت یواح نژورته دیلاس ا هتفای شرتسگ نگل تمس هب پچ هیلک کیموتانآ و تس چ هیلک یناتحت لپ میشناراپ زا یشخب نآ رانک رد هدید پ دوشیم.
- ب شرتسگ اب یناتحت فوجا دیرو لاروموت زوبمورت ه
دوشیم تیور تسار زیلهد.
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Case3( Continue):
- Total left nephrectomy was performed
- n14th April 2019(1398/1/25).
- Pathology report was Wilm’s tumor
favorable histology.
- High risk Wilm's tumor protocol was began
at the time of nephrectomy.
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Case3( Continue):
- After nephrectomy, massive ascitis and
pleural effusion and hypo-albuminemia were present which did not response to albumin administration.
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Case3( Continue):
- Total right nephrectomy and thrombectmy
was performed on 27th May 20019(1398/03/06) with coupling of Pediatric surgeon and vascular Surgeon.
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Case3( Continue):
- After nephrectomy and thrombectmy , the
patient condition is good .
- Ascitis and pleural effusion are disapeared.
- At present the treatment will be continued.
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