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Spinal cord compression in widely metastatic Wilms' tumor. Paraplegia in two children with anaplastic wilms' tumor
Author(s) -
Ebb David H.,
Kerasidis Harry,
Vezina Gilbert,
Packer Roger J.,
Carabell Steven,
Ivy Percy
Publication year - 1992
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19920601)69:11<2726::aid-cncr2820691116>3.0.co;2-z
Subject(s) - medicine , wilms' tumor , spinal cord compression , malignancy , spinal cord , metastasis , paraplegia , cancer , surgery , pathology , psychiatry
Spinal cord compression in Wilms' tumor is a rare event, generally caused by invasion of the canal by paraspinal lesions or metastatically involved vertebral bodies. This case report reviews the clinical presentation, radiologic evaluation, and emergent therapy in two cases of spinal cord compromise involving patients with widely metastatic Wilms' tumor. One of these is the only known report of intradural metastasis in a child with this malignancy. Both cases illustrate the importance of anticipating and rapidly responding to neurologic complications that may arise in patients with aggressively metastatic Wilms' tumor. Cancer 1992; 69:2726‐2730.