title: Wilms' tumour: presentation and treatment.
abstract: OBJECTIVE
  To determine the clinical presentation and treatment results of patients of Wilms' tumour treated with United Kingdom Children's Cancer Study Group (UKCCSG) protocol.
  
  
  METHODS
  An interventional study.
  
  
  METHODS
  The study was conducted in the Paediatric Oncology Department of Combined Military Hospital, Rawalpindi (CMH RWP), from January 1999 to December 2000.
  
  
  METHODS
  All patients of Wilms' tumour managed by using UKCCSG treatment protocol were included in the study. The patients were thoroughly investigated before treatment. Surgery, chemotherapy and radiotherapy were performed as per protocol.
  
  
  RESULTS
  Twenty-two patients including 13 boys and 09 girls with the mean age of 28 months, ranging from 4 months to 7 years were studied. The tumour involved right kidney in 13 and left in 9 patients. Two (09%) patients had stage I, 5 (23%) stage II, 11 (50%) stage III and 04 (18%) stage IV disease. Histology was favourable in 18 and unfavourable in 04 patients. Nineteen (86.4%) patients underwent primary surgery, one had delayed surgery while 02 (9%) patients had inoperable tumour and died despite chemotherapy. Three patients died during maintenance chemotherapy and one after completion of treatment. The overall mortality was 06 (27.3%). Three patients were lost to follow-up.
  
  
  CONCLUSIONS
  The treatment outcome is comparable to UKCCSG results. Challenges to be addressed in our set up include illiteracy, deficiency of resources, and regularity of treatment and follow-up.
authors.affiliation: Department of Paediatric Oncology, Combined Military Hospital (CMH), Rawalpindi.
authors.forename: Arshad
authors.initials: A
authors.lastname: Mahmood
authors.forename: Tariq
authors.initials: T
authors.lastname: Ghafoor
authors.forename: Shahida
authors.initials: S
authors.lastname: Badsha
mesh_terms: D002648:Child; D002675:Child, Preschool; D002985:Clinical Protocols; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D007223:Infant; D007680:Kidney Neoplasms / Q000188:drug therapy / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*; D008297:Male; D011379:Prognosis; D009396:Wilms Tumor / Q000188:drug therapy / Q000401:mortality / Q000532:radiotherapy / Q000601:surgery*