J Laparoendosc Adv Surg Tech A. 2006 Feb;16(1):74-6.
Laparoscopic Removal of Extraosseous Ewing's Sarcoma of the
Kidney in a Pediatric Patient.
Perer E, Shanberg AM, Matsunaga G, Finklestein JZ.
Miller Children's Hospital, Long Beach Memorial Medical Center, Long
Beach, California., Antoci Center for Pediatric Urology and Nephrology,
UC Irvine Medical Center, Orange, California.
In the pediatric population, to the best of our knowledge, only 2 cases
of renal extraosseous Ewing's sarcoma/primitive neuroectodermal tumor
(EES/PNET) have been published. We report the initial case of renal
EES/PNET occurring in a 10-year-old girl treated by a laparoscopic
radical nephrectomy. The regimen used is the first documented use of
neoadjuvant chemotherapy prior to laparoscopic radical nephrectomy for
PNET. This approach obviated the need for a large incision and a
prolonged postsurgical recovery. The minimally invasive nature of the
laparoscopic procedure allowed for a rapid convalescence and resumption
of her chemotherapy regimen within 14 days of the surgery.
PMID: 16494555 [PubMed – in process]