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American Journal of Roentgenology, Vol 105, 95-104, Copyright © 1969 by American Roentgen Ray Society

ANGIOGRAPHIC MANIFESTATIONS OF WILMS' TUMOR

AN OBSERVATION OF SIX CASES

CHIEN-HSING MENG M.D.1 and MILTON ELKIN M.D.1

1 From the Department of Radiology, Albert Einstein College of Medicine, Yeshiva University and Bronx Municipal Hospital Center, Bronx, New York

Angiographic study was made in 6 patients with Wilms' tumor, 5 children and 1 adult. In all cases tumor vessels could be demonstrated—moderately vascular in 3, hypovascular in 2, and markedly vascular in 1. Tumor stain was demonstrated in only 1 patient, and then in only a few small scattered areas. The tumor vessels in these 6 patients had a "creeping vine" or "spaghetti" appearance. There were avascular areas of varying size within the tumor mass in all 6 cases.

The type of abnormal vascularity might suggest the diagnosis of Wilms' tumor although it is not proposed to be pathognomonic of this type of neoplasm.


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Copyright © 1969 by the American Roentgen Ray Society.