DOI: 10.36347/sasjs.2021.v07i02.019

Pages: 102-106

We report the results of our first management of a tiny cohort of 4 cases of Wilm’s tumor. The patients were 1 male aged 4.2 years and 3 females aged 3.3, 5.6 and 9.5 years. The mean age was 5.7 years. We performed an up-front nephrectomy in 3 patients. Surgery was not feasible in the 5.6 years old female who got lost to follow-up. Although adjuvant chemotherapy was indicated in all of the 3 operated patients, only the male patient could afford it. One female patient experienced pulmonary and brain metastases 16 months after surgery and died 42 months after surgery. On last follow-up, 2 patients in 3 (67%), 1 male and 1 female, were still surviving and disease-free at respectively 72 and 69 months, i.e. nearly 6 years after surgery.