Case List History Objectives Radiology Images Questions PEDIATRIC SURGERY Case #5 - A 3 year old child presents with swelling of the abdomen DISCUSSION QUESTIONS: 6.) What is the staging for Wilm's tumor? Staging of Wilm's tumor: Stage I: limited to one kidney with capsule intact and completely excised Stage II: through renal capsule but fully excised. There may be local spill of tumor. Renal vessels may contain tumor thrombus. Stage III: Residual nonhematogenous tumor confined to abdomen, lymph nodes, diffuse peritoneal spillage, peritoneal implants, tumor beyond the surgical margin. Stage IV: Hematogenous metastases to distant organs Stage V: bilateral tumors and each kidney should be staged separately.
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