Wilms' tumor:Changes of CT findings after chemotherapy.
10.3348/jkrs.1993.29.6.1331
- Author:
Choon Sik YOON
;
Myung Jun KIM
;
Mi Hae KIM
;
Ki Keun OH
- Publication Type:Original Article
- MeSH:
Carcinoma, Renal Cell;
Drug Therapy*;
Granulation Tissue;
Histiocytes;
Lymph Nodes;
Necrosis;
Neoplasm Metastasis;
Sarcoma, Clear Cell;
Tomography, X-Ray Computed;
Wilms Tumor
- From:Journal of the Korean Radiological Society
1993;29(6):1331-1336
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
When the tumor is advanced with distant metastasis or unresectable initially, preoperative chemotherapy could be applied in the treatment of Wilms' tumor We experienced 6 cases of favorable type of Wilms' tumor, 1 case of clear cell sarcoma and 1 case of renal cell carcinoma. They were treated with preoperative chemotherapy and underwent CT Scans before and after the therapy. Pathologic changes after chemotherapy in Wilms' tumor were known from previous reports as subtotal hemorrhagic necrosis, cystic change, clusters of foamy histiocytes, granulation tissue formation, primitive nephrogenic tissues and peripherally remained focal areas of blastemal infiltration. Changes of CT findings after chemotherapy were internal necrosis(6/6), decrease in size(5/6), decrease and absence of regional lymph node enlargement(4/6) and improved or disappeared metastatic lesions(3/3). Although our study had some limitations such as small numbers of cases and all cases were favorable types, we thought that there were good correlations between change of CT findings and subtotal hemorrhagic necrosis after preoperative chemotherapy in Wilms' tumor.
