What is the role of radical nephrectomy in the treatment of Wilms tumor?

Updated: Feb 01, 2019
  • Author: Tunc Ozan, MD; Chief Editor: Bradley Fields Schwartz, DO, FACS  more...
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Answer

Answer

According to the NWTSG protocol, the first step in the treatment of Wilms tumor is surgical staging followed by radical nephrectomy, if possible. [3] During the surgical staging procedure, exploration of the contralateral kidney is considered unnecessary because of the diagnostic reliability of current imaging techniques (computed tomography [CT] scanning, magnetic resonance imaging [MRI]).

If imaging studies demonstrate bilateral disease, nephrectomy is not performed, but biopsy specimens are obtained. New protocols in the management of bilateral Wilms tumor are being explored.


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