Management of bilateral Wilms tumor over three decades: The perspective of a single center

Nephron preservation should be the aim while taking positive surgical margin risk on nephron sparing surgery side relying on postoperative chemotherapy and carefully planned radiotherapy to avoid recurrence. However, there is significant diversity on the management BWT in different centers and a certain validated guideline or protocol to provide the optimal treatment is still lacking.Table. Survival among different surgical procedure groups.SurvivalPartial nephrectomy + unilateral nephrectomy71.4% (5/7)Enucleation + unilateral nephrectomy80% (8/10)Overall (among operated patients)72.2% (13/18)