Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis

Patrycja Sosnowska-Sienkiewicz; Danuta Januszkiewicz-Lewandowska; Katarzyna Jończyk-Potoczna; Ewelina Gowin; Przemysław Mańkowski

doi:10.5114/polp.2021.112402

eISSN: 2300-8660
ISSN: 0031-3939

Pediatria Polska - Polish Journal of Paediatrics

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abstract:

Case report

Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis

Patrycja Sosnowska-Sienkiewicz

¹

,

Danuta Januszkiewicz-Lewandowska

²

,

Katarzyna Jończyk-Potoczna

³

,

Ewelina Gowin

⁴

,

Przemysław Mańkowski

¹

Department of Paediatric Surgery, Traumatology and Urology, Poznan University of Medical Sciences, Poznan, Poland
Department of Paediatric Oncology, Haematology and Transplantology, Poznan University of Medical Sciences, Poznan, Poland
Department of Paediatric Radiology, Poznan University of Medical Sciences, Poznan, Poland
Department of Health Promotion, Poznan University of Medical Sciences, Poznan, Poland

Pediatr Pol 2021; 96 (4): 288–291

DOI: https://doi.org/10.5114/polp.2021.112402

Online publish date: 2022/01/11

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AMA

Sosnowska-Sienkiewicz P, Januszkiewicz-Lewandowska D, Jończyk-Potoczna K, Gowin E, Mańkowski P. Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis. Pediatria Polska - Polish Journal of Paediatrics. 2021;96(4):288-291. doi:10.5114/polp.2021.112402.

APA

Sosnowska-Sienkiewicz, P., Januszkiewicz-Lewandowska, D., Jończyk-Potoczna, K., Gowin, E.,  & Mańkowski, P. (2021). Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis. Pediatria Polska - Polish Journal of Paediatrics, 96(4), 288-291. https://doi.org/10.5114/polp.2021.112402

Chicago

Sosnowska-Sienkiewicz, Patrycja, Danuta Januszkiewicz-Lewandowska, Katarzyna Jończyk-Potoczna, Ewelina Gowin,  and Przemysław Mańkowski. 2021. "Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis". Pediatria Polska - Polish Journal of Paediatrics 96 (4): 288-291. doi:10.5114/polp.2021.112402.

Harvard

Sosnowska-Sienkiewicz, P., Januszkiewicz-Lewandowska, D., Jończyk-Potoczna, K., Gowin, E.,  and Mańkowski, P. (2021). Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis. Pediatria Polska - Polish Journal of Paediatrics, 96(4), pp.288-291. https://doi.org/10.5114/polp.2021.112402

MLA

Sosnowska-Sienkiewicz, Patrycja et al. "Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis." Pediatria Polska - Polish Journal of Paediatrics, vol. 96, no. 4, 2021, pp. 288-291. doi:10.5114/polp.2021.112402.

Vancouver

Sosnowska-Sienkiewicz P, Januszkiewicz-Lewandowska D, Jończyk-Potoczna K, Gowin E, Mańkowski P. Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis. Pediatria Polska - Polish Journal of Paediatrics. 2021;96(4):288-291. doi:10.5114/polp.2021.112402.

PlumX metrics:

Preoperative Wilms tumour rupture has been reported sporadically. But when identified, SIOP (Societe Internationale d’Oncologie Pediatrique) recommends that these patients should be upstaged to the 3rd stage.

The purpose of this publication was to present the clinical and radiological features of preoperative tumour rupture in our patient.

A 4-year-old girl was treated in the oncology department for a large Wilms tumour. The child presented inconclusive clinical and radiographical features of preoperative tumour rupture. Therefore, standard 4-week preoperative chemotherapy was used. Unfortunately, a tight connection between the cystic part of the tumour and the peritoneum became the cause of tumour rupture during surgery.

Not every child who meets the radiological criteria for preoperative tumour rupture should be upgraded. The radiological features of preoperative tumour rupture shouldvery much increase the caution of the surgeon.

keywords:

Therapeutic management in a child with Wilms tumour and radiological features suggesting rupture at the time of diagnosis

Patrycja Sosnowska-Sienkiewicz 1 , Danuta Januszkiewicz-Lewandowska 2 , Katarzyna Jończyk-Potoczna 3 , Ewelina Gowin 4 , Przemysław Mańkowski 1

child, computed tomography, surgery, tumour rupture, Wilms tumour

Patrycja Sosnowska-Sienkiewicz

¹

,

Danuta Januszkiewicz-Lewandowska

²

,

Katarzyna Jończyk-Potoczna

³

,

Ewelina Gowin

⁴

,

Przemysław Mańkowski

¹