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What is Which is the ideal timing for staing radiotherapy in Wilm's tumour after surgery? and explain in detail?
The postoperative radiotherapy in Willm's tumor should be staed within 10 days of surgery. Delayed initiation of treatment beyond 10days after surgery result in higher risk of abdominal recurrence. Chief indications of radiotherapy in Wilm's tumor are: Abdominal radiotherapy is preferred for: * All stage II,III, IV tumors * All anaplastic tumors beyond stage I * All clear cell sarcoma of kidney * Abdominal relapse Chest radiotherapy is given for lung metastasis. Ref: Schwaz's Principles of Surgery, 9e Chapter 39