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(Chest. 1973;64:130-132.)
© 1973 American College of Chest Physicians

Wilms Tumor: Diagnosis by Thoracentesis

Norman Jaffe M.B.1; Demetrius Traggis M.D.1; Hubert Jockin M.D.2; Melvin Tefft M.D.3; and Robert M. Filler M.D.4

1 Department of Medicine (Division of Oncology)
2 Department of Pathology
3 Department of Radiation Therapy
4 Department of Surgery

A diagnosis of Wilms tumor was made by thoracentesis in a critically ill child in whom immediate surgery was contraindicated. This confirmed the clinical impression and supported a definitive program of radiotherapy and chemotherapy preoperatively. The tumor was removed surgically after her clinical conditon had improved and after reduction in the size of the mass had been obtained. Postoperatively, dactinomycin was administered at two monthly intervals for two years and the child is alive and well without evidence of tumor four and a half years after diagnosis.






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Copyright © 1973 by the American College of Chest Physicians.