Slovis T L, Cushing B, Reilly B J, Farooki Z Q, Philippart A I, Berdon W E, Baker D H, Reed J O
AJR Am J Roentgenol. 1978 Aug;131(2):263-6. doi: 10.2214/ajr.131.2.263.
The clinical and radiographic appearances of four children with cardiac extension of Wilms' tumor and four cases from the literature are described. Four of the eight children were seen for "cardiac problems" and four for "routine" Wilms' tumor. In those "routine" cases, there were no clinical suggestions of inferior vena cava or cardiac extension. Preoperative screening for tumor extension may be crucial. However, because of the rarity of cardiac extension, it would be appropriate to screen patients by noninvasive methods such as gray scale ultrasound of the abdomen, echocardiography, or computed tomography before any invasive procedure is considered.
本文描述了4例患有肾母细胞瘤心脏转移的儿童的临床和影像学表现，并回顾了文献中的4个病例。8例患儿中，4例因“心脏问题”就诊，4例因“常规”肾母细胞瘤就诊。在那些“常规”病例中，没有下腔静脉或心脏转移的临床迹象。术前筛查肿瘤转移可能至关重要。然而，由于心脏转移罕见，在考虑任何侵入性检查之前，通过无创方法如腹部灰阶超声、超声心动图或计算机断层扫描对患者进行筛查是合适的。
