Can We Spare Removing the Adrenal Gland at Radical Nephrectomy in Children With Wilms Tumor?

PURPOSE: In patients with Wilms tumor indications for adrenalectomy are not well-defined. Following the rationale for preserving the adrenal gland in cases of other renal malignancies we determined predictors of adrenal involvement and the impact of adrenalectomy on retroperitoneal recurrence. MATERIALS AND METHODS: We retrospectively reviewed the record of patients who underwent surgical resection as primary treatment for Wilms tumor between …