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Surgical tactics in the treatment of malignant renal tumors in childhood

Publication at Second Faculty of Medicine |
1997

Abstract

The authors report the treatment results of 89 children with renal tumors (excluding carcinoma) seen from 1988 to 1992, 71 (79.8%) with favorable-histology Wilms' tumor (survival 86%) and 18 (20.2%) with unfavorable histology, including anaplastic nephroblastoma, clear-cell sarcoma, and rhabdoid tumor (survival 61%). Preoperative chemotherapy (ChT) was given to 46 patients (survival 84%); none was given to 43 with either tumors in the Ist year of life, massive hematuria, or tumor growth during ChT (survival 78%).

There were 3 tumor ruptures in the latter group compared to 1 in the former group.