Nishimura M, Takenawa J, Okada K, Kawamura J, Yoshida O, Okabe T
Department of Urology, Faculty of Medicine, Kyoto University.
Hinyokika Kiyo. 1987 Aug;33(8):1226-31.
Wilms tumor is one of the most common malignant neoplasms in children. In the last 2 decades the survival rate of children with this disease has dramatically increased. However, in adults, the guideline for its management is less clear. We herein report the prolonged survival of a patient with advanced adult Wilms tumor after treatment with chemotherapy, irradiation and operations. Adult Wilms tumor should be treated aggressively with a well-timed combination of surgery, chemotherapy and radiotherapy (i.e., multimodal treatment), even if the stage of the disease was advanced. Thereby, we suspect that the prognosis of adult Wilms tumor would be markedly improved.
肾母细胞瘤是儿童最常见的恶性肿瘤之一。在过去20年中,患有这种疾病的儿童的存活率显著提高。然而,在成人中,其治疗指南尚不太明确。我们在此报告1例晚期成人肾母细胞瘤患者经化疗、放疗和手术治疗后长期存活的情况。即使疾病分期较晚,成人肾母细胞瘤也应及时采用手术、化疗和放疗相结合的积极治疗方法(即多模式治疗)。因此,我们怀疑成人肾母细胞瘤的预后将得到显著改善。