Pediatrics, Jawaharlal Nehru Medical College, Wardha, Maharashtra, 442001, India.
Hemato-Oncology and Bone Marrow Transplant, Royal Manchester Children's Hospital, Manchester, M139WL, UK.
F1000Res. 2023 Aug 30;12:1056. doi: 10.12688/f1000research.138794.1. eCollection 2023.
Wilms tumor (WT) is the most common renal malignancy seen in pediatric patients. Although lungs are the most common site of metastasis in Wilms tumor, non-malignant pleural effusion has been infrequently reported. Here, we report a case of an eleven-year-old female who presented with an abdominal mass and progressive breathlessness. On further evaluation, she was found to have a right-sided Wilms tumor with ipsilateral massive pleural effusion. The effusion resolved almost completely after four weeks of chemotherapy. We conclude that patients suffering from Wilms tumor presenting with pleural effusion need not be synonymous with metastatic disease and can have a favorable prognosis.
威尔姆斯瘤（WT）是儿科患者中最常见的肾脏恶性肿瘤。虽然肺部是威尔姆斯瘤最常见的转移部位，但良性胸腔积液的报道很少见。在这里，我们报告了一例 11 岁女性，她因腹部肿块和进行性呼吸困难就诊。进一步评估发现，她患有右侧威尔姆斯瘤，并伴有同侧大量胸腔积液。化疗四周后，胸腔积液几乎完全消退。我们得出结论，患有威尔姆斯瘤并伴有胸腔积液的患者不一定等同于转移性疾病，并且可以有良好的预后。
