Peritoneal metastases after laparoscopic nephron-sparing surgery for localized Wilms tumor

J Pediatr Surg. 2011 Mar;46(3):e19-21. doi: 10.1016/j.jpedsurg.2010.11.024.

Abstract

A 2-year-old girl was referred for the management of the progression of her localized Wilms tumor. She had undergone laparoscopic nephron-sparing surgery for her right Wilms tumor 3 months earlier. Postoperative chemotherapy was commenced 6 weeks later. Subsequent computer tomographic evaluation 12 weeks postsurgery showed local recurrence and peritoneal tumors. These findings were confirmed at laparotomy. We report the first case of peritoneal tumor dissemination after laparoscopic nephron-sparing surgery for localized Wilms tumor.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Child, Preschool
  • Combined Modality Therapy
  • Dactinomycin / administration & dosage
  • Doxorubicin / administration & dosage
  • Female
  • Humans
  • Kidney Neoplasms / drug therapy
  • Kidney Neoplasms / surgery*
  • Laparoscopy / methods*
  • Neoadjuvant Therapy
  • Neoplasm Recurrence, Local / drug therapy
  • Neoplasm Seeding
  • Nephrectomy / methods*
  • Omentum / surgery
  • Peritoneal Neoplasms / drug therapy
  • Peritoneal Neoplasms / radiotherapy
  • Peritoneal Neoplasms / secondary*
  • Peritoneal Neoplasms / surgery
  • Radiotherapy, Adjuvant
  • Treatment Failure
  • Vincristine / administration & dosage
  • Wilms Tumor / drug therapy
  • Wilms Tumor / radiotherapy
  • Wilms Tumor / secondary*
  • Wilms Tumor / surgery

Substances

  • Dactinomycin
  • Vincristine
  • Doxorubicin