両側 Wilms' 腫瘍 : 術後 8 年生存症例

概要

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A 1 yr and 9 mo old female with bilateral Wilms' tumor underwent alternative resections of the left and right tumors with an interval of 2 weeks. After excision of the left tumor, an IVP demonstrated normal function of the remaining kidney of the left side. Excision of the right side tumor was safely carred out with an extensive resection. A total of 17 series of Actinomycine D (3 before and 14 after excisions) were given. Two years after excision of the bilateral tumors, a relapse at the left side kidney required a nephrectomy. At present, 6 and a half years after left nephrectomy for relapse, the patient is free of desease and well. In this patient, the remaining kidney is only one third of the right side (one sixth of both kidneies), but the kidney functions are normally reserved. A long term chemotherapy (four years with AcD) with a combination of alternative excisions of giant tumors and an aggressive excision of the relapsing tumors was successful for a long range survival in this patient.
日本小児外科学会の論文