Journal of the Japanese Society of Pediatric Surgeons
Online ISSN : 2187-4247
Print ISSN : 0288-609X
ISSN-L : 0288-609X
Liver Metastases in Wilms' Tumor : Diagnosis and Treatment
Fumiaki SasakiYoshinobu HataShinichi MatuokaHiromasa TakahashiHiromi HamadaJunichi UchinoJunichi IshikawaKiyoshi Cyouzi
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1991 Volume 27 Issue 4 Pages 683-688

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Abstract
Involvement of the liver has been thought to be rare in patients with Wilms' tumor, but it has not been rare in our patients. Liver metastases occurred in 14.4% of our patients and they occrred in 26.7% of patinents with recurrence. The most common periods for the diagnosis of liver metastases are the first few months of the illness, the period immediately after stopping chemotherapy, or any time that lung metastases are identified. Liver ultrasonography is recommended at the initial investigation every three months for the first two years, and abnormal cases should be subjected to computed tomography or angiography. Chemotherapy and radiation therapy are not very effective, and early detection and surgical treatment are needed to obtain a cure. Generally the prognosis is very poor and we have observed a cure in only one out of four patients.
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© 1991 The Japanese Society of Pediatric Surgeons

この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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