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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(03): 409-412
DOI: 10.4103/ijmpo.ijmpo_57_18
Original Article

Wilm's Tumor-Collaborative Approach is needed to Prevent Tumor Upstaging and Radiotherapy Delays: A Single Institutional Study

Shaqul Qamar Wani
Department of Radiation Oncology, State Cancer Institute, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India
,
Talib Khan
Department of Anaesthesia, Pain and Critical Care, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India
,
Saiful Yammin Wani
Department of Health Services Kashmir (DHSK), District Hospital Pulwama, Jammu and Kashmir, India
,
Mohammad Maqbool Lone
Department of Radiation Oncology, State Cancer Institute, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India
,
Fir Afroz
Department of Radiation Oncology, State Cancer Institute, Sher I Kashmir Institute of Medical Sciences (SKIMS), Srinagar, Jammu and Kashmir, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Context: Successful management of Wilm's tumor (WT) necessitates meticulous attention for proper staging and collaborative effort for its optimal management. Aims: The aim of the study was to observe the patterns of WT. Settings and Design: This study was a single-institutional retrospective study. Subjects and Methods: Twenty-three WT case records were analyzed over 6 years and the data collected were interpreted as number, percent, mean ± and standard deviation with regard to clinicodemographic aspects, staging, and diagnostic modality and treatment options. Results: Mean age was 3.97 ± 2.67 years with maximum number in the 2–5-year age group. Males slightly dominated the number, and majority cases were from the rural area. The major clinical presentation was abdominal mass followed by abdominal pain, fever, vomiting, hematuria, and urinary retention. Left laterality was common and single bilateral WT was seen. Majority of tumors were >10 cm in their largest dimensions. Most WT presented in Stage III followed by Stage I and IV. One was a recurrent tumor. Conclusion: WT was usually diagnosed at the locally advanced or metastatic stages; hence, the comprehensive collaborative approach will help to manage the patients optimally and avoid tumor upstaging and radiotherapy delays. Besides awareness at community level is needed to pick up the disease at the earlier stage to have a better outcome in the form of disease control and disease-free survival.

Keywords

Abdominal mass - nephroblastoma - radiotherapy delays - tumor upstaging - Wilm's tumor


Publication History

Received: 08 March 2018

Accepted: 19 April 2018

Article published online:
03 June 2021

© 2019. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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