Stay Current In Pediatric Surgery

An interactive discussion about Wilms tumor between Todd Ponsky, MD, Avraham Schlager, and Peter Ehrlich, MD. Dr. Peter Ehrlich is a professor of pediatrics surgery at the University of Michigan C.S. Mott Children’s Hospital who is also a vice chair of surgery and renal tumor section of the children oncology group. Table of Contents 00:00 - Introduction 01:09 - Typical clinical case? 03:27 - Wilms tumor CT scan 04:48 - What after CT scan 06:10 - Therapeutic options 09:15 - Management of widespread tumor 10:18 - Intestinal invasion 10:57 - tumor upstaging 12:35 - Different therapeutic approaches 14:57 - Crossing midline tumor 15:35 - Lung lesion impact on the approach 17:15 - Biopsy technique 18:39 - Possibility of negative biopsy 19:18 - Central line type 23:02 - Chemotherapy regimen 25:02 - Stage I and II with lung lesion 27:39 - Need for lung lesion biopsy 29:02 - Lung lesion after nephrectomy 29:19 - Treatment without biopsy 30:08 - Differences between COG and SIOP 31:16 - Abdominal radiation criteria