RT Book, Section
A1 Davidoff, Andrew M.
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100439182
T1 Nephroblastoma (Wilms Tumor)
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesspediatrics.mhmedical.com/content.aspx?aid=1100439182
RD 2024/04/19
AB Wilms  tumor  is  the  second  most  common  abdominal  tumor  in  children  and  accounts  for  95%  of  the  renal  tumors  in  children.The  overall  survival  for  all  patients  with  Wilms  tumor  is  >90%.For  unilateral  tumors,  upfront  resection  with  lymph  node  biopsy  is  the  current  recommendation  from  the  Children's  Oncology  Group.Children  with  bilateral  renal  masses  require  no  biopsy;  they  are  begun  on  3-drug  chemotherapy  for  6  to  12  weeks  prior  to  local  control  with  nephron-sparing  surgery.Patients  are  treated  on  risk-based  protocols  with  molecular  risk  factors  being  integrated  into  the  assessment  that  includes  stage  and  histology.