Postoperative limited volume irradiation in a child with a solitary brain metastasis from Wilms tumor: a case report

Med Pediatr Oncol. 1997 Sep;29(3):222-3. doi: 10.1002/(sici)1096-911x(199709)29:3<222::aid-mpo11>3.0.co;2-f.

Abstract

An 11-year-old boy presented with a solitary cerebral metastasis 2.5 years after initial diagnosis and 4 months after successful combined modality treatment of a stage II recurrent Wilms tumor in the chest. Resection of the brain metastasis was followed by limited volume irradiation with 30.0 Gy total dose. After a follow-up of 2.5 years the boy is in complete remission and shows no neurological or neuropsychological deficits indicating the possibility of curative postoperative radiotherapy of low toxicity and restricted to the tumor site in the presence of solitary brain metastases.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Brain Neoplasms / radiotherapy
  • Brain Neoplasms / secondary*
  • Brain Neoplasms / surgery
  • Child
  • Combined Modality Therapy
  • Cranial Irradiation*
  • Follow-Up Studies
  • Humans
  • Kidney Neoplasms / pathology*
  • Lung Neoplasms / drug therapy
  • Lung Neoplasms / secondary
  • Lung Neoplasms / surgery
  • Male
  • Mediastinal Neoplasms / drug therapy
  • Mediastinal Neoplasms / pathology
  • Mediastinal Neoplasms / radiotherapy
  • Neoplasm Recurrence, Local / drug therapy
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / radiotherapy
  • Neoplasm Staging
  • Postoperative Care
  • Radiotherapy Dosage
  • Radiotherapy, High-Energy
  • Remission Induction
  • Salvage Therapy
  • Wilms Tumor / radiotherapy
  • Wilms Tumor / secondary*
  • Wilms Tumor / surgery