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Case Report: Pleural effusion in Wilms tumor - always malignant?
Keta Vagha1, Patel Zeeshan Jameel2, Jayant Vagha1
1Pediatrics, Jawaharlal Nehru Medical College, Wardha, Maharashtra, 442001, India.
F1000Research
|July 24, 2024
Summary
Wilms tumor, a common pediatric kidney cancer, can cause pleural effusion without metastasis. This case shows that pleural effusion in Wilms tumor patients can resolve with chemotherapy, indicating a favorable prognosis.
Area of Science:
- Pediatric Oncology
- Nephrology
- Pulmonology
Background:
- Wilms tumor is the most frequent kidney cancer in children.
- Pleural effusion is an uncommon complication of Wilms tumor, often associated with metastasis.
Observation:
- An 11-year-old female presented with an abdominal mass and difficulty breathing.
- Imaging revealed a right-sided Wilms tumor and a large ipsilateral pleural effusion.
Findings:
- The patient received chemotherapy for the Wilms tumor.
- The massive pleural effusion significantly decreased after four weeks of treatment.
Implications:
- Pleural effusion in Wilms tumor does not always indicate metastatic disease.
- This finding suggests a potentially favorable prognosis for pediatric patients with Wilms tumor and pleural effusion.
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