[Partial nephrectomy in unilateral Wilms tumor. New draft for a protocol of the SIOP].
Unilateral Wilms' tumor has been treated according to 9301 SIOP protocol, with good results. The new pre protocol that SIOP is developing has a high inclusion rate. From 1993 to 1999, 11 patients with unilateral Wilms' tumor were treated in our center; in 6 cases preop chemotherapy was done, in the other 5 cases pre and postoperative chemotherapy were used. Nine of the 11 patients could be included in the pre protocol this was due to a thrombosis of the vena cava in one case, and in the other the middle renal in area was widely affected. Wilms' tumor has a good prognosis with the actual protocol, SIOP. New pre protocol could give a better quality of life due to the amount of functional renal parenchyma, without decreasing the actual high cure rate.
Acosta
D
D
Departamento de Cirugía Pediátrica, Hospital Materno-Infantil Vall d'Hebron, Barcelona.
Martínez-Ibáñez
V
V
Lloret
J
J
Abad
P
P
al-Kassab
H
H
Boix-Ochoa
J
J
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D007223:Infant; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D009396:Wilms Tumor / Q000601:surgery*