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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 REVIEW ARTICLE
Year : 2015  |  Volume : 20  |  Issue : 1  |  Page : 16-20

The current status of treatment of Wilms' tumor as per the SIOP trials


Department of Paediatric Surgery, Marciniak Hospital; Department of Emergency Medicine, Medical University, Wroclaw, Poland

Correspondence Address:
Jan Godzinski
Department of Paediatric Surgery, Marciniak Hospital, Traugutta 116, 50 - 420 Wroclaw
Poland
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.145439

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This paper attempts to briefly describe the International Society of Paediatric Oncology (SIOP) policy of treatment of nephroblastoma since first study (SIOP 1) launched in 1971 until today. It focuses on the advantages of the preoperative chemotherapy and the stratification of patients induced this way. Marked efficacy of the pretreatment opened the way for less aggressive surgical management also in case of the "so-called" regular unilateral cases: Nephron-sparing surgery and minimal invasive techniques will probably find its place in this field of pediatric surgical oncology; however, very careful selection of cases must be the priority.






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