WILMS-TUMOR - CURE OF MALIGNANT PLEURAL EFFUSION EXCLUSIVELY WITH CHEMOTHERAPY

A malignant pleural effusion was diagnosed by thoracentesis in a 12-ye ar-old patient with an established diagnosis of Wilms' tumor. He was t reated with chemotherapy and achieved a reduction in the size of the p rimary tumor and resolution of the effusion. The primary tumor was the n resected and chemotherapy continued for a total of 18 months. At the request of the parents, radiation therapy to the thorax was withheld. The patient has remained free of disease for the past 8 years. (C) 19 95 Wiley-Liss, Inc.