Kuno Takahira, Tamura Kenji, Yoshimichi Jo, Ookouchi Hisao, Nishigawa Hiroshi, Kamada Masayuki, Inoue Keiji, Shuin Taro
The Department of Urology, Kochi Medical School, Kochi University, Japan.
Hinyokika Kiyo. 2009 Nov;55(11):699-702.
We report a case of successful response of lung metastases of reccurent adult Wilms' tumor by multiagent chemotherapy. The patient was a 19-year-old woman who had undergone left radical nephrectomy and adjuvant chemotherapy (actinomycin D, vincristine) for stageadult Wilms' tumor when she was 16 years old. Coputed tomography (CT) revealed multiple lung metastases (right parietal pleura, left S10, right S10). We treated the patient with thoracoscopic partial resection of inferior lobe of lung. Then she received multiagent chemotherapy (vincristine, adriamycin, etoposide, cyclophosphamide). CT scan showed complete response of the lung metastases at 8 months.
我们报告了一例复发性成人肾母细胞瘤肺转移经多药化疗成功缓解的病例。患者为一名19岁女性,16岁时因成人肾母细胞瘤行左肾根治性切除术及辅助化疗(放线菌素D、长春新碱)。计算机断层扫描(CT)显示多发肺转移(右顶叶胸膜、左S10、右S10)。我们对患者进行了胸腔镜下肺下叶部分切除术。然后她接受了多药化疗(长春新碱、阿霉素、依托泊苷、环磷酰胺)。CT扫描显示8个月时肺转移完全缓解。