TABLE 2  Staging system of the National Wilms' Tumour Study.

From the following article:

Current challenges in Wilms' tumor management

Lyndon M Gommersall, Manit Arya, Imran Mushtaq and Patrick Duffy

Nature Clinical Practice Oncology (2005) 2, 298-304
doi:10.1038/ncponc0196

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StageDescription
ITumor limited to the kidney and completely excised. The renal capsule is intact and the tumor was not ruptured before removal. There is no residual tumor.
IITumor extends through the perirenal capsule but is completely excised. There may be local spillage of tumor confined to the flank, or the tumor may have been biopsied. Extrarenal vessels may contain tumor thrombus or may be infiltrated by the tumor.
IIIResidual nonhematogenous tumor confined to the abdomen; lymph-node involvement, diffuse peritoneal spillage, peritoneal implants, either gross or microscopic tumor beyond the surgical margin, or tumor not completely removed.
IVHematogenous metastases to lung, liver, bone, brain or other organ.
VBilateral renal involvement at diagnosis.

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