Nephron-sparing surgery in children with primary renal tumor: indications and results.

Abstract:

:Nephron-sparing surgery (NSS) is the treatment of choice for children with bilateral Wilms' tumor (WT), or with WT on a single kidney, or with WT and a disease of the contralateral kidney, or with benign kidney tumor. NSS is a reasonable alternative to nephrectomy in children at risk of metachronous WT, including children with genetic syndromes, children younger than 1 year of age, and children with hyperplastic nephroblastomatosis. The use of NSS in selected children with "low-risk" or stage I "intermediate-risk" WT and a normal contralateral kidney is still controversial. Available data suggest that, in children with WT, NSS does not impair the outcome and has a renal function advantage over nephrectomy.

journal_name

Semin Pediatr Surg

authors

Cozzi DA,Zani A

doi

10.1053/j.sempedsurg.2005.11.002

keywords:

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

3-9

issue

1

eissn

1055-8586

issn

1532-9453

pii

S1055-8586(05)00087-9

journal_volume

15

pub_type

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