Wilms' Thmor with Metastasis to Duodenum- The First Reported Case in Thailand

NIYADA VITHAYASAI, M.D.*, V ANDEE NINGSANOND, M.D.**, RANGSAN NIRAMIS, M.D.***

Affiliation : * Gastroenterology and Nutrition Unit, Department of Paediatrics, ** Hematology Unit, Department of Paediatrics, *** Department of Surgery, Queen Sirikit National Institute of Child Health, Ministry of Public Health. Bangkok 10400, Thailand.

AbstractA case of Wilms' tumor with gastrointestinal tract metastasis of the duodenum was documented in a 22 month - old - child. She had been diagnosed with Wilms' tumor stage III, treated surgically and by radiation and chemotherapy about 1 year previously. While she was still on chemotherapy, she developed hematemesis and clinical signs of partial gut obstruction. Gastroscopy and upper gastrointestinal series showed an intraluminal vascular mass in the duo- denal bulb and histologically proved to be Wilms' tumor. We believe this is the first report in the world of Wilms' tumor with gastrointestinal tract metastasis.

Keywords : Wilms' Tumor, Metastasis, Gastrointestinal Tract

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