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Prognostic significance of histopathological response to preoperative chemotherapy in unilateral wilms tumor: An analysis of 899 patients treated on the siop Wt 2001 protocol in the Uk Cclg And Gpoh Studies

International Journal of Cancer Jun 15, 2021

Vujanic GM, D'Hooghe E, Graf N, et al. - The aim of the study was to evaluate whether a subset of regressive type Wilms tumor (WT) (RT-WTs)(67-99% chemotherapy-induced changes - CIC) showing an exceptionally good response to preoperative chemotherapy had comparably excellent survivals as Completely necrotic WTs (CN-WTs), and to establish a cut-off point of CIC that could define this subset. The study included 2,117 patients with unilateral, nonanaplastic WTs from the UK-CCLG and GPOH-WT studies (2001-2020) treated according to the SIOP-WT-2001 protocol. Patients with STN-WT96-99 share the same excellent EFS and OS as patients with CN-WTs, and although this was achieved by more treatment for patients with STN-WT96-99 than for patients with CN-WT, reduction in postoperative treatment of these patients may be justified.

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