paediatrics Brussels 17

COG RT Guidelines for FH Wilms Tumor

Disease Extent

RT Volume

Dose

Hilar lymph nodes/ Gross or microscopic residual confined to flank/ Local spill

Tumor bed, crossing midline to include entire vertebral bodies

1080 cGy/ 6 fx

Para-aortic lymph nodes Include bilateral para- aortic chains

1080 cGy/ 6 fx

Peritoneal seeding, Preoperative peritoneal rupture, Diffuse operative spill

Whole abdomen

1050 cGy/ 7 fx