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Prognostic implications of hepatic adhesion, invasion, and metastases at diagnosis of wilms' tumor
Author(s) -
Thomas Patrick R. M.,
Shochat Stephen J.,
Norkool Patricia,
Beckwith J. Bruce,
Breslow Norman E.,
D'Angio Giulio J.
Publication year - 1991
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19911201)68:11<2486::aid-cncr2820681128>3.0.co;2-2
Subject(s) - medicine , wilms' tumor , stage (stratigraphy) , adhesion , tumor stage , pathology , metastasis , histology , disease , oncology , cancer , paleontology , chemistry , organic chemistry , biology
In the Third National Wilms' Tumor Study, (NWTS‐3), 190 patients with Favorable Histology (FH) Wilms' tumor (WT) were identified as having tumor adherent to, directly invading, or metastatic to the liver at diagnosis. Analyses of the 3‐year relapse‐free survival and survival of these patients show that adhesion to the liver surface, direct invasion of the liver, and liver metastases have no additional detrimental effect on prognosis stage‐for‐stage. The authors conclude that hepatic involvement, when present at the time of diagnosis, should not be regarded as different from other patterns of the disease. Treatment policies should follow those appropriate for stage. 68:2486‐2488, 1991.