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SIOP PODC: Clinical guidelines for the management of children with Wilms tumour in a low income setting

2012; Wiley; Volume: 60; Issue: 1 Linguagem: Inglês

10.1002/pbc.24321

1545-5017

Trijn Israëls, Claude Moreira, Trish Scanlan, Liz Molyneux, Sam Kampondeni, Peter Hesseling, Hugo A. Heij, Eric Borgstein, Gordan Vujanić, Kathy Pritchard‐Jones, Larry Hadley,

Ethics and Legal Issues in Pediatric Healthcare

Abstract Wilms tumour is a relatively common and curable paediatric tumour. Known challenges to cure in low income countries are late presentation with advanced disease, malnutrition, failure to complete treatment and limited facilities. In this article, management recommendations are given for a low income setting where only the minimal requirements for treatment with curative intent are available (setting 1). These include general management, supportive care, social support and registration of patients. Recommendations specific for Wilms tumour care include diagnostic procedures with emphasis on the role of ultrasonography, preoperative chemotherapy with a reduced dosage for malnourished children and postoperative chemotherapy based on surgical staging. Pediatr Blood Cancer 2013; 60: 5–11. © 2012 Wiley Periodicals, Inc.