Özet:

Purpose: Wilms tumor (WT) is the most common kidney tumor in childhood and is usually seen between 2-4 years of age. The survival rate in WT cases, which is the main treatment, is as 90% in non-metastatic cases, 75% in metastatic cases. The study aimed at reviewing current literature with the presentation of the 32-year WT experience of the single center. Method: From January 1988 to December 2019 the files of 70 adults who had been operated due to WT in our child surgery clinic were re-examined. The findings: 62 of the seventh facts were single, 8 were double-sided. 33 of the unilateral incidents (53.2%) were girls, 29 (46.7%) men, 5 of the double incidents (62.5%) girls, 3 (37.5%) men. The average age in unilateral cases was 33.6 months (8-62) and 25.4 months (12-54) in dual cases. In one case, WAGR syndrome was detected, in one case, the horse kidney. 5 of the events were Stage 1, 22 Stage 2, 19 Stage 3, 16 Stage 4 and 8 Stage 5. The most common metastasis was found in the lungs at a rate of 56% (n = 9/16). Nefron protection surgery was applied to one-sided cases, nefroureterectomy, and nefron protection surgery was applied to two-sided cases. In 12 of the cases (17.1%) histopathologically identified anaplasia, while in 10 (14.2%) cases, nickel was found. One incident was peroperative, and 13 incident was lost. 8 of the losers (61,5%) were in unfavorable histopathology containing anaplasia. The survival rate in our series was 91% in favorable cases and 33% in unfavorable cases. Result: The future efforts in WT treatment should be to create national and international integrated data scanning indices in order to increase recovery, in high-risk cases, to reduce chemotherapy toxicity and to contribute to therapeutic innovations.

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