THORACOSCOPIC RESECTION OF A PULMONARY METASTATIC TUMOR AND TRANSDIAPHRAGMATIC MICROWAVE COAGULATION THERAPY FOR A HEPATIC RECURRENT TUMOR IN A 21-YEAR-OLD FEMALE ALIVE FOR 10 YEARS SINCE INITIAL THERAPY FOR WILMS' TUMOR

Abstract

A 21-year-old woman, who had undergone a right nephrectomy for a Wilms tumor of the right kidney and a partial hepatectomy for its multiple hepatic metastasis at the age of 10 (1987), was admitted to the hospital for the treatment of recurrent tumors in June 1997. Until 1994, at 18 years of age, she had partial hepatec-tomies with microwave coagulation therapy twice, pulmonary resection, paraaortic lymph node dissection, neoadjuvant chemotherapies for recurrent tumors, and auto bone marrow transplantation. In March 1996, a cystic lesion in the right lower lobe of lung was detected on CT. In June 1997, another tumor in the posterior segment of the liver was detected, and a thoracoscopic resection of the lung tumor and transdiaphragmatic microwave coagulation therapy for the liver tumor were successfully performed. The patient have maintained a good quality of life for 10 years since the initial therapy with subseqent multimodal therapies.