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National Survey on the Management of Wilms Tumor

Elgendy, Ahmed, MD*; Shehata, Sherif, MD; Medhat Zaki, Ahmed, MD; Shehata, Sameh, MD§

Journal of Pediatric Hematology/Oncology: May 2019 - Volume 41 - Issue 4 - p 280–285
doi: 10.1097/MPH.0000000000001289
Original Articles

This study aims to investigate the management of Wilms tumor by the Egyptian pediatric surgical association (EPSA) consultants. After approval of the EPSA executive board, a questionnaire was distributed individually to all consultants attending the general assembly of EPSA 2017 annual congress. Of 88 consultants, responses were received from 61. Palpable abdominal mass was indicated by 72.13% of respondents as the commonest presenting symptom. Concerning the imaging requested, computed tomography was reported by 80.33%. Approximately 62.30% of respondents perform 1 to 3 cases annually. Regarding timing of surgery, upfront resection was the most frequently reported by 62.30%. A total of 77.05% perform lymph node sampling during surgeries. Nephron-sparing surgery was adopted by only 26.23%, whereas none of the respondents reported the use of minimally invasive surgery for management. Overall, 93.44% of surgeons ask for a visit every 3 months in the first year postoperatively. Upfront nephrectomy is the commonest procedure for Wilms tumor in the current practice of EPSA consultants, whereas there is consensus against minimally invasive surgery. Surgical guidelines for nephron-sparing surgery are still incomplete and need to be tabulated. This study urges for a nationwide retrospective analysis to establish a uniform protocol with international reference to be adopted in Egypt.

*Surgical Oncology Unit

Pediatric Surgery Department, Tanta University, Tanta

Pediatric Surgery Department, Ain Shams University, Cairo

§Pediatric Surgery Department, Alexandria University, Alexandria, Egypt

The authors declare no conflict of interest.

Reprints: Ahmed Elgendy, MD, Surgical Oncology Unit, Tanta University, 35 Ali Beek Elkbeer Street, Tanta, 31515 Egypt (e-mail:

Received February 16, 2018

Accepted July 16, 2018

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