PMID- 1646561
OWN - NLM
STAT- MEDLINE
DCOM- 19910715
LR  - 20061115
IS  - 0870-399X (Print)
IS  - 0870-399X (Linking)
VI  - 4
IP  - 1
DP  - 1991 Jan-Feb
TI  - [Wilm's tumor in children: review of 38 cases].
PG  - 13-8
AB  - Analysis of the incidence of the Nephroblastoma and of its clinic, echographic 
      and radiologic aspects. Review of 38 cases handled in the Pediatric Surgery 
      Service of Santa Maria Hospital between January 1960 and January 1987. In 
      addition to the distribution by age and stadiation, the results were studied in 3 
      groupings corresponding to successive therapeutic phases along this period. The 
      survival is more favourable in the etary group under 3 years old and does not 
      differ substantially in stages I and II. In the analysis of the prognostic to the 
      therapeutic sequences, there was an evident improvement of survival from 0% 
      before 1966 (Surgery and Radiotherapy) to 46.15% in the second phase, 1966-76, 
      with the introduction of Chemotherapy (Actinomycina D). In the last phase after 
      1977, using the therapeutic scheme of National Wilms Tumour Study (NWTS) survival 
      reached 80.95%. Trying to correlate the prognostic with the histologic type, it 
      turns out to be difficult to make a criterious characterization in the cases 
      submitted to pre-operative Radio and/or Chemotherapy. The advantage of this 
      therapeutic attitude in parallel with the faulaification of the histologic type 
      and the Tumour stadiation is hereby discussed.
FAU - Leal, M J
AU  - Leal MJ
AD  - Servico de Cirurgia Pediatrica, Hospital de Santa Maria, Lisboa.
FAU - Goncalves, M
AU  - Goncalves M
FAU - da Silva, J M
AU  - da Silva JM
FAU - de Oliveira, J R
AU  - de Oliveira JR
LA  - por
PT  - English Abstract
PT  - Journal Article
TT  - Tumor de Wilms' na crianca: revisao de 38 casos.
PL  - Portugal
TA  - Acta Med Port
JT  - Acta medica portuguesa
JID - 7906803
SB  - IM
MH  - Child
MH  - Child, Preschool
MH  - Diagnostic Errors
MH  - Female
MH  - Humans
MH  - Infant
MH  - *Kidney Neoplasms/diagnosis/mortality/pathology/therapy
MH  - Male
MH  - Neoplasm Staging
MH  - Prognosis
MH  - Survival Rate
MH  - *Wilms Tumor/diagnosis/mortality/pathology/therapy
EDAT- 1991/01/01 00:00
MHDA- 1991/01/01 00:01
CRDT- 1991/01/01 00:00
PHST- 1991/01/01 00:00 [pubmed]
PHST- 1991/01/01 00:01 [medline]
PHST- 1991/01/01 00:00 [entrez]
PST - ppublish
SO  - Acta Med Port. 1991 Jan-Feb;4(1):13-8.