Begin with a case – a 3-year-old with an asymptomatic abdominal mass. This hooks the audience.
The staging of Wilms tumor is based on the extent of the disease. The most commonly used staging system is the National Wilms Tumor Study Group (NWTSG) staging system, which includes: wilms tumor ppt new
| Stage | COG (Primary Nephrectomy) | SIOP (Pre-op Chemo) | |-------|----------------------------|----------------------| | I | Tumor limited to kidney, completely excised | >2/3 necrosis post-chemo | | II | Extracapsular extension but completely excised | ≤2/3 necrosis | | III | Residual tumor (lymph nodes, positive margins, spillage) | Incomplete resection | | IV | Hematogenous metastases (lung, liver, brain) | Same | | V | Bilateral renal involvement at diagnosis | Same | Begin with a case – a 3-year-old with
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