What is the prognosis of Wilms tumor?

Updated: Mar 04, 2019
  • Author: Ali Nawaz Khan, MBBS, FRCS, FRCP, FRCR; Chief Editor: Eugene C Lin, MD  more...
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Surgical resection is mandatory for treatment and staging, with all patients receiving chemotherapy. Radiation therapy is reserved for managing residual abdominal tumors or hematogenous metastatic disease. In the past 3 decades, the survival rate has been a remarkable 90% with a multidisciplinary approach to this tumor. Radiologic diagnosis, staging, and follow-up are crucial for therapeutic success. About 15% of treated patients have relapses of Wilms tumor, with most occurring within 2 years after nephrectomy and only occasionally after 5 years. [22]

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