ウィルムス腫瘍の遠隔成績 : 晩期障害を中心に(I 主要疾患の遠隔成績, 25周年記念シンポジウム論文)

概要

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Sixteen long term survivors of Wilms' tumor which were experinced in our department were analyzed. No patients showed abnormalities in non-specific cell mediated immunity, endocrine function, secondary sexual development or renal function. In patients who were followed more than 10 yers after surgery, the function of the remanning kidney, as determined by DMSA uptake, was well developed. In 15 patients who were treated by radiotherapy, changes in the spinal bodies were seen in all 15, scoliosis (average 9°) in 14 and hypoplasia in the iliac bone on the irradiated side in 12. In 14 patients who were examined by CT scan, atrophies of the erector spinae and illopsoas muscles on the irradiated side were seen in all cases. A significant correlation between the severity of the atrophic erector spinae muscle and the degree of scoliosis was obtained. Sixty nine patients with Wilms' tumor who survived more than ten years after surgery were found in the files of 13 institutions in our conutry. Out of them, 25 (36%) developed late disrurbances and many of them were due to irradiation therapy.
特定非営利活動法人日本小児外科学会の論文
1989-10-20