3D reconstruction computed tomography scan in diagnosis of bilateral wilm's tumor with its embolus in right atrium

Abstract

Wilms' tumor, a rare kidney cancer, mostly affects children. It usually occurs in the first five years of life. In most cases, Wilms' tumor affects just one kidney, though it can sometimes be simultaneously found in both kidneys. In the United States, about 500 children are diagnosed with a Wilms' tumor each year [1]. This tumor is histologically divided into two types: favorable types of Wilms' tumor with a better outcome that requires less aggressive treatment, anaplastic histology of Wilms' Tumor that needs more aggressive chemotherapy and higher doses of radiation therapy. In spite of the more aggressive therapies, survival rate is generally poorer.Wilms' tumors may grow larger without causing any pain or other symptoms. Various image technologies are used in the diagnosis of this kidney lesion or metastasized tumors, such as ultrasound [2], CT scan or enhanced CT with contrast urography [3], MRI scan, chest x-ray for detecting the spread of cancer to the lungs, and bone scan for monitoring the spread to the bones. Tissue biopsy often is taken when the affected kidney is removed during surgery, not before surgery.