Isolated endobronchial metastasis of Wilms' tumor

Tzu Peng Lee, Ching Tzao, Jia Hung Liu, Cheng Ping Yu, Hsian H. Hsu, Hsing N. Chien

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2 Citations (Scopus)

Abstract

Isolated endobronchial metastasis from extrapulmonary solid organ was rarely reported in previous literature. We report an isolated endobronchial metastasis of Wilms' tumor in a 4-year-old boy. He underwent right nephrectomy on account of Wilms' tumor at the age of 3 years. We performed a wedge resection of a metastasis to the right lower lobe of the lung a year later, followed by chemotherapy and irradiation of the involved lung over a period of 30 weeks. One and a half years later, he developed obstructive pneumonitis of the left lung. Fiberoptic bronchoscopy identified a tumor at the left main bronchus with near total bronchial obstruction, compatible with findings on a computed tomographic scan. Rigid bronchoscopy was performed to core out the obstructing tumor. It was reported as a metastatic Wilms' tumor. Successful reexpansion of the left upper lobe was achieved and he was discharged uneventfully, followed by adjuvant chemotherapy.

Original languageEnglish
JournalJournal of Pediatric Surgery
Volume40
Issue number9
DOIs
Publication statusPublished - Sep 2005
Externally publishedYes

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Keywords

  • Isolated endobronchial metastasis
  • Rigid bronchoscopy
  • Spiral computed tomography
  • Wilms' tumor

ASJC Scopus subject areas

  • Surgery

Cite this

Lee, T. P., Tzao, C., Liu, J. H., Yu, C. P., Hsu, H. H., & Chien, H. N. (2005). Isolated endobronchial metastasis of Wilms' tumor. Journal of Pediatric Surgery, 40(9). https://doi.org/10.1016/j.jpedsurg.2005.05.072