Which of the following is the treatment of choice for stage-I Wilm's Tumor
Open Nephroureterectomy is the standard surgical procedure for Wilms tumour.Many expes prefer preoperative chemotherapy because it diminishes the size of the tumor and allows better staging.By preoperative chemotherapy,using actinomycin D and vincristine for a period of 4 weeks,85% of the patients may not require any local radiotherapy.Stage I and II tumors with orable histology are usually treated postoperatively with vincristine & actinomycin D. Reference:Essential pediatrics-Ghai,8th edition,page no:618.
Laparoscopic Nephrectomy
Open Nephroureterectomy
Chemotherapy
Observation
Childhood tumors