Wilms tumor with dilated cardiomyopathy: A case report

Figure 1 Chest radiographs. A: At initial presentation, cardiomegaly with a cardiothoracic ratio of 60% and diffuse small multiple pulmonary nodules was detected; B: After three courses of chemotherapy, cardiomegaly with a cardiothoracic ratio of 55% and absence of pulmonary nodules was detected.

Figure 2 Echocardiography. A: A dilated left atrium and a left ventricle with poor contractility were noted; B: A 8 cm× 9 cm left renal mass with multilocular renal cyst appearance was seen.

Figure 3 Computed tomography scan of the abdomen. A: At initial presentation, a large lobulated heterogeneously hypoenhancing 9.7 cm × 9.7 cm × 9.5 cm soft tissue mass occupying the left kidney was detected; B: After three courses of carboplatin and etoposide, the tumor was found to have decreased in size to measure 5.7 cm × 5.1 cm × 5.8 cm.

Figure 4 A Wilms tumor of 3. 5 cm × 4 cm × 7.5 cm confined to the renal capsule with hemorrhagic necrosis of tumor cells was removed.