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British Journal of Radiology (1990) 63, 568-569
© 1990 British Institute of Radiology
doi: 10.1259/0007-1285-63-751-568
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Intracardiac extension of Wilms' tumour: demonstration by magnetic resonance

J. M. Gibson, MA, MB, BS, MRCP(UK), FRCR M. A. Hall-Craggs, BA, MB, BS, MRCP(UK), FRCR C. Dicks-Mireaux, BA, MRCP, FRCR and J.P. Finn, MB, MSc, MRCPI, FRCR

Department of Radiology, Hospital for Sick Children, Great Ormond Street, London WC1 N 3JH

This excerpt was created in the absence of an abstract.

Extension of intravascular tumour thrombus into the right atrium is a well recognized but rare complication of Wilms' tumour (Ritchey et al, 1988). We described the first such case demonstrated by Magnetic Resonance (MR) imaging.

A 5-year-old girl was admitted to hospital with a 1-month history of lethargy and one episode of haematuria. Physical examination revealed a large mass in the right loin and elevation of the jugular venous pressure. Abdominal ultrasound demonstrated a 10 cm echogenic, right renal mass. The inferior vena cava (IVC) was expanded by intraluminal thrombus which extended up to the right atrium. Computerized tomography (CT) confirmed a right renal mass and caval thrombus.

Received for publication August 1, 1989.




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