A 3-year-old girl has Wilms tumor with a favorable histology and a positive surgical margin. CT scan of the chest does not reveal any pulmonary nodules. What cancer stage is most appropriate for the patient's condition?

Question

Quizplus · Accepted Answer

Stage III in Wilms tumor is characterized by residual non-hematogenous tumor confined to the abdomen, either because of positive surgical margins, spillage of tumor during surgery, or lymph node involvement. The absence of pulmonary nodules rules out Stage IV, which involves hematogenous metastases.

A 3-Year-Old Girl Has Wilms Tumor with a Favorable Histology