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Use of nephron sparing surgery and impact on survival in children with Wilms tumor: a SEER analysis.

Authors
  • Wang, Hsin-Hsiao S1
  • Abern, Michael R2
  • Cost, Nicholas G3
  • Chu, David I1
  • Ross, Sherry S1
  • Wiener, John S1
  • Routh, Jonathan C4
  • 1 Division of Urologic Surgery, Duke University Medical Center, Durham, North Carolina.
  • 2 Department of Urology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
  • 3 Division of Urology, University of Colorado Anschutz Medical Campus, Denver, Colorado.
  • 4 Division of Urologic Surgery, Duke University Medical Center, Durham, North Carolina. Electronic address: [email protected]
Type
Published Article
Journal
The Journal of urology
Publication Date
October 2014
Volume
192
Issue
4
Pages
1196–1202
Identifiers
DOI: 10.1016/j.juro.2014.04.003
PMID: 24735935
Source
Medline
Keywords
License
Unknown

Abstract

In children with Wilms tumor included in the SEER database nephron sparing surgery has been infrequently performed. Nephron sparing surgery application is associated with smaller, bilateral tumors and with omission of lymphadenectomy. However, there are no evident differences in application of nephron sparing surgery based on demographic or socioeconomic factors. Despite lymph node under staging, overall survival is similar between patients undergoing nephron sparing surgery and radical nephrectomy.

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