Abstract
Bone metastases are extremely rare in patients with classical Wilms' tumor (WT). We describe the clinical and radiologic features, treatment and outcome of three patients with WT (one with favorable histology and two with anaplasia) in whom bone metastases were detected at diagnosis or relapse. Bone metastases were documented by skeletal radiographs, computed tomography and/or bone scintigraphy. The patient with favorable histology WT had no evidence of pulmonary metastases and is now free of disease following aggressive chemotherapy and radiotherapy.
Similar content being viewed by others
References
The National Wilms' Tumor Study Committee (1991) Wilms' tumor: status report. J Clin Oncol 9:877
Marsden HB, Lennox EL, Lawler W, Kinnier-Wilson LM (1980) Bone metastases in childhood renal tumours. Br J Cancer 41:875
Marsden HB, Lawler W, Kumar PM (1978) Bone metastasizing renal tumor of childhood: morphological and clinical features, and differences from Wilms' tumor. Cancer 42:1922
Eklof O, Mortensson W, Sandstedt B, Ahstrom L (1984) Bone metastases in Wilms' tumor: occurrence and radiological appearance. Ann Radiol (Paris) 27:97
Bond JV, Martin EC (1975) Bone metastases in Wilms' tumour. Clin Radiol 26:103
Ledlie EM, Mynors LS, Draper GJ, Gorbach PD (1970) Natural history and treatment of Wilms' tumour: an analysis of 335 cases occurring in England and Wales 1962–66. BMJ4:195
Meister L, Uri A, Agrons G, Scher C (1993) Wilms' tumor bone metastases at diagnosis. Med Pediatr Oncol 21:446
Levick RK, Steiner GM (1983) Skeletal survey in Wilms' tumour assessment. Ann Radiol (Paris) 26:235
Ebb DH, Kerasidis H, Vezina G, Packer RJ, Carabell S, Ivy P (1992) Spinal cord compression in widely metastatic Wilms' tumor. Paraplegia in two children with anaplastic Wilms' tumor. Cancer 69:2726
Sumner TE, Crowe JE, Parker MD, White JP (1980) Solitary spinal metastasis from Wilms' tumor. Pediatr Radiol 9:175
Lupi L, Bighi S, Limone GL, Merio L, Panzavolta R (1987) A case report of bone metastases in Wilms' tumor: diagnostic aspects and a review of the literature. Rays 12:61
Garrett IR (1993) Bone destruction in cancer. Semin Oncol 20:4
Author information
Authors and Affiliations
Additional information
The work reported her was supported in part by the National Center Institute, Cancer Center Support (CORE) grant CA 21765 and by the American Lebanese Syrian Associated Charities (ALSAC)
Rights and permissions
About this article
Cite this article
Gururangan, S., Wilimas, J.A. & Fletcher, B.D. Bone metastases in Wilms' tumor—report of three cases and review of literature. Pediatr Radiol 24, 85–87 (1994). https://doi.org/10.1007/BF02020158
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02020158