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J Thorac Cardiovasc Surg 2006;132:199-200
© 2006 The American Association for Thoracic Surgery

Brief Communication

Pulmonary metastases of adult Wilms' tumor 17 years after the primary site

Zisis Charalambos, MD, PhD a , * , Spiliotopoulos Konstantinos, MD a , Dimosthenous Kypros, MD b , Plochoras Ioannis, MD b , Pantelidaki Aikaterini, MD b , Bellenis Ion, MD, PhD, FETCS a

a Department of Thoracic and Vascular Surgery, Evangelismos General Hospital, Athens, Greece
b Department of Pathology, Evangelismos General Hospital, Athens, Greece

Received for publication January 26, 2006; accepted for publication March 15, 2006.

* Address for reprints: Charalambos Zisis, MD, 17A, Patriarchou Grigoriou str, 166 74-Glyfada, Greece. (Email: chzisis@otenet.gr).

The first 20% of the full text of this article appears below.

Wilms' tumor accounts for most childhood renal neoplasms, and it is the third most common solid cancer in children under the age of 10 years. However, it infrequently occurs in adults, and only sporadic reports of isolated adult Wilms' tumor appear in the literature. 1 Go

Clinical Summary

A 47-year-old woman was admitted to our hospital after a chest radiograph showed a big shadow in the upper left lung (Figure E1). Chest computed tomography (CT) confirmed a mass sized 7 x 10 x 8 cm that was located in the left upper lobe (LUL) with atelectasis of the LUL (Figure 1) and revealed enlargement of the ipsilateral lymph nodes and secondary nodules in the left lower lobe and the right lower lobe at a maximum diameter of 3 cm. Thrombocytopenia that had started 2 months previously initiated diagnostic investigation. The patient was an ex-smoker (20 packets-years), with . . . [Full Text of this Article]






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