Update on Wilms tumor

J Pediatr Surg. 2019 Mar;54(3):390-397. doi: 10.1016/j.jpedsurg.2018.09.005. Epub 2018 Sep 19.

Abstract

This article reviews of the current evidence-based treatment standards for children with Wilms tumor. In this article, a summary of recently completed clinical trials by the Children's Oncology Group is provided, the current diagnostic evaluation and surgical standards are discussed, and the surgical impact on current risk stratification for patients with Wilms tumor is highlighted. LEVEL OF EVIDENCE: This is a review article of previously published and referenced LEVEL 1 studies, but also includes expert opinion LEVEL V, represented by the American Pediatric Surgical Association Cancer Committee.

Keywords: Surgery; Wilms tumor.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Kidney / pathology
  • Kidney / surgery
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / therapy*
  • Nephrectomy / methods
  • Risk Assessment / methods
  • Survival Rate
  • Wilms Tumor / pathology
  • Wilms Tumor / therapy*

Substances

  • Antineoplastic Agents