Which of the following is the treatment of choice for stage-I Wilm's Tumor
Laparoscopic Nephrectomy
Open Nephroureterectomy
Chemotherapy
Observation
Open Nephroureterectomy is the standard surgical procedure for Wilms tumour.Many expes prefer preoperative chemotherapy because it diminishes the size of the tumor and allows better staging.By preoperative chemotherapy,using actinomycin D and vincristine for a period of 4 weeks,85% of the patients may not require any local radiotherapy.Stage I and II tumors with orable histology are usually treated postoperatively with vincristine & actinomycin D. Reference:Essential pediatrics-Ghai,8th edition,page no:618.
Childhood tumors