WILMS TUMOR WITH LEFT ATRIAL EXTENSION: A RARE CASE REPORT

Dr. Parag Gharde, Dr. Amita Sharma, Dr. Bharti Sharma* and Dr. Ritesh Kumar Sheorain

ABSTRACT

Introduction: Wilms tumor is second most common abdominal solid tumor in children, also known as nephroblastoma. Intra atrial extension of Wilms tumor occurs in only about 1 to 3% of cases and its isolated metastasis to left heart in absence of vena cava extension is extremely rare, thus this case is unique. Case report: We reported a rare case of an isolated left heart metastasis of Wilms tumor in a 7 years old male child who presented with chief complaints of generalized weakness and loss of appetite for one month and chest pain associated with dyspnea for 10 days. Discussion: Wilms tumor is curable in majority of the cases. Metastatic tumors of the heart are 20 to 40 times more common than primary tumors. Isolated metastasis of Wilms tumor to left heart in absence of vena cava extension is extremely rare, thus this case is unique. Conclusion: Left sided heart metastasis of Wilms tumor is an extremely a rare condition. Preoperative chemotherapy and resection with an appropriately skilled team is the treatment of choice.

Keywords: Wilms tumor, left atrium, intracardiac mass.