Most children with Wilms' tumor can now expect remarkably good surviva
l. Current protocols have placed greater emphasis on reducing the morb
idity of treatment for low-risk patients reserving intensive treatment
for selected high-risk patients. This review addresses recent advance
s and current recommendations for the treatment of nephroblastoma. Con
troversial issues regarding the surgical management of these children
are also discussed. (C) 1993 Wiley-Liss, Inc.