EPIDURAL METASTASIS IN WILMS-TUMOR - A CASE-REPORT AND REVIEW OF THE LITERATURE

Spinal canal involvement is not a common pattern of metastasis in Wilm s' tumor. Although early detection and treatment can achieve improveme nt of neurological deficit, mortality remains high. We present a 5-yea r-old girl who had an epidural metastasis while she was receiving chem otherapy for stage IV Wilms' tumor. Within 2 months following laminect omy, total removal of tumor, radiotherapy, and adjuvant chemotherapy s ome of the neurological signs improved. (C) 1994 Wiley-Liss, Inc.