# Wilms Tumor Protocol Violations: 2018 Pediatric Surgery Practice Gap #3 — GCMD Library

<p>Drs. Todd Ponsky, Alex Casar, Alex Gibbons, and Rae Hanke review 2018 Practice Gap #3: Wilms Tumor Protocol Violations, as identified by the APSA Professional Development Committee.</p><p><a href="http://videolibrary.globalcastmd.com/wilms-tumor-protocol-violations"></a></p>

Type: video · posted 2019-06-26
Canonical: https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460

## Chapters
- [0:00](https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460?t=0) Wilms Tumor Protocol Violations Overview

## Statements
- "Lymph nodes must be taken out during nephrectomy for Wilms tumor" (guideline) [0:00](https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460?t=0)
- "Failure to take out lymph nodes automatically upstages Wilms tumor patients" (guideline) [0:00](https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460?t=0)
- "There is both a local and systemic staging system for Wilms tumor" (clinical) [0:00](https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460?t=0)
- "Pulmonary metastases do not preclude primary nephrectomy in Wilms tumor" (guideline) [0:00](https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460?t=0)
- "Primary nephrectomy in metastatic Wilms tumor affects whether the patient receives radiation therapy" (clinical) [0:00](https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460?t=0)
- "There is a local stage for Wilms tumor and a patient staging for Wilms tumor" — Erlick (clinical) [0:50](https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460?t=50)
- "Omission of lymph node biopsies is a major protocol violation in Wilms tumor surgery" — Erlick (opinion) [0:50](https://library.globalcastmd.com/watch/wilms-tumor-protocol-violations-2018-pediatric-surgery-practice-gap-3-1460?t=50)

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Not medical advice · citation policy: https://library.globalcastmd.com/ai
