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Case ReportOpen Access
Wilms' Tumor with Metastasis to Duodenum * The First Reported Case in Thailand
A case of Wilms' tumor with gastrointestinal tract metastasis of the duodenum was
documented in a 22 month -old -child. She had been diagnosed with Wilms' tumor stage III,
treated surgically and by radiation and chemotherapy about 1 year previously. While she was
still on chemotherapy, she developed hematemesis and clinical signs of partial gut obstruction.
Gastroscopy and upper gastrointestinal series showed an intraluminal vascular mass in the duo-
denal bulb and histologically proved to be Wilms' tumor. We believe this is the first report in
the world of Wilms' tumor with gastrointestinal tract metastasis.
Key word : Wilms' Tumor, Metastasis, Gastrointestinal Tract
documented in a 22 month -old -child. She had been diagnosed with Wilms' tumor stage III,
treated surgically and by radiation and chemotherapy about 1 year previously. While she was
still on chemotherapy, she developed hematemesis and clinical signs of partial gut obstruction.
Gastroscopy and upper gastrointestinal series showed an intraluminal vascular mass in the duo-
denal bulb and histologically proved to be Wilms' tumor. We believe this is the first report in
the world of Wilms' tumor with gastrointestinal tract metastasis.
Key word : Wilms' Tumor, Metastasis, Gastrointestinal Tract
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