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Tumor de Wilms e Tuberculose: Diagnósticos diferenciais num caso de apresentação simultânea
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Abstract(s)
RESUMO
O Tumor de Wilms é o tumor renal
mais frequente na criança. A terapêutica
actual, que inclui quimioterapia, cirurgia e
radioterapia, é o resultado da colaboração
multidisciplinar entre grupos internacionais.
As taxas de cura actuais atingem
os 90%. O correcto estadiamento tem
implicações terapêuticas e prognósticas,
sendo o local de metastisação à distância
mais frequente o pulmão. Dada a elevada
prevalência da tuberculose pulmonar
no nosso país, este é um diagnóstico
diferencial a equacionar na presença de
consolidação pulmonar, mesmo na criança
com doença oncológica.
Os autores apresentam um caso
clínico de uma criança de 4 anos de
idade, com diagnóstico de nefroblastoma
e hipodensidade pulmonar. O estudo
complementar levou ao diagnóstico de
tuberculose pulmonar. Abordam-se as
dificuldades de diagnóstico e planeamento
terapêutico.
ABSTRACT Wilms tumour (WT) is the most common renal tumour in children. Treatment includes chemotherapy, surgery and radiotherapy and is the result of successful multidisciplinary collaboration of international groups. The survival rate is nearly 90%. Correct staging is critical for treatment planning and estimating outcome. When distant metastases are present they usually involve the lung. Due to the high prevalence of pulmonary tuberculosis in our country, this diagnosis should always be remembered even in a child with cancer. The authors present the case of a 4-year-old child with nephroblastoma and a lung consolidation in which the study workout proved to be pulmonary tuberculosis.
ABSTRACT Wilms tumour (WT) is the most common renal tumour in children. Treatment includes chemotherapy, surgery and radiotherapy and is the result of successful multidisciplinary collaboration of international groups. The survival rate is nearly 90%. Correct staging is critical for treatment planning and estimating outcome. When distant metastases are present they usually involve the lung. Due to the high prevalence of pulmonary tuberculosis in our country, this diagnosis should always be remembered even in a child with cancer. The authors present the case of a 4-year-old child with nephroblastoma and a lung consolidation in which the study workout proved to be pulmonary tuberculosis.
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Citation
Nascer e Crescer 2006; 15(1): 37-38