Pediatrics: Renal and Adrenal Oncology: Difference between revisions
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**#* Accurate staging is essential for the subsequent determination of the need for radiation therapy and the appropriate chemotherapy regimen. | **#* Accurate staging is essential for the subsequent determination of the need for radiation therapy and the appropriate chemotherapy regimen. | ||
**# '''<span style="color:#ff0000">Perform surgery without tumor spillage</span>''' | **# '''<span style="color:#ff0000">Perform surgery without tumor spillage</span>''' | ||
**# | **#* Local recurrence is increased in patients with local tumor spillage, and is classified as stage III disease. 2-year survival rate after local recurrence is 43% | ||
**#'''<span style="color:#ff0000">Palpate the renal vein and IVC</span>''' to exclude intravascular tumor extension before vessel ligation. | **#'''<span style="color:#ff0000">Palpate the renal vein and IVC</span>''' to exclude intravascular tumor extension before vessel ligation. | ||
**#'''<span style="color:#ff0000">Lymph node sampling must be included at the same time as resection even with nephron-sparing.''' | **#'''<span style="color:#ff0000">Lymph node sampling must be included at the same time as resection even with nephron-sparing.''' | ||