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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Answer

Answer

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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