title: Surgical evaluation of lymph node metastases in Wilms' tumor.
abstract: Because lymph node (LN) involvement continues to be an adverse prognostic factor in the later National Wilms' Tumor Study (NWTS) trials, the NWTS-3 Surgical Committee undertook a project to determine the accuracy of the present method of sampling. The committee concludes that: (1) there is a relatively low potential error rate (less than 10%) that would comprise adequate care when a policy of LN sampling is followed; (2) this does not encourage routine radical LN dissections in Wilms' tumor patients because of the well-known morbidities associated with that procedure; and (3) LN sampling in all Wilms' tumor patients should be performed with a high index of suspicion present in the mind of the operating surgeon.
authors.affiliation: Medical University Hospital, Charleston, SC.
authors.forename: H B
authors.initials: HB
authors.lastname: Othersen
authors.forename: A
authors.initials: A
authors.lastname: DeLorimer
authors.forename: E
authors.initials: E
authors.lastname: Hrabovsky
authors.forename: P
authors.initials: P
authors.lastname: Kelalis
authors.forename: N
authors.initials: N
authors.lastname: Breslow
authors.forename: G J
authors.initials: GJ
authors.lastname: D'Angio
mesh_terms: D001706:Biopsy; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology*; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D009396:Wilms Tumor / Q000473:pathology* / Q000601:surgery