Kutzner J
Klin Padiatr. 1981 May;193(3):225-9. doi: 10.1055/s-2008-1034463.
The possibilities of diagnosing Wilms' tumor correctly have been greatly extended by the introduction of computerised tomography and ultrasonic examination. In view of the fact that Wilms' tumor is subjected to combined treatment involving chemotherapy, surgery and radiotherapy, it appears justified to reduce the dose to 20--30 Gy, depending upon the age of the child and the extension of the tumor. It is believed that preoperative radiotherapy will yield better surgical possibilities in large tumours. Radiotherapy can be omitted in infants in the stages I and II as well as in children in stage I.
计算机断层扫描和超声检查的引入极大地拓宽了正确诊断肾母细胞瘤的可能性。鉴于肾母细胞瘤需要接受化疗、手术和放疗的综合治疗,根据患儿年龄和肿瘤范围将剂量减至20-30 Gy似乎是合理的。据信,术前放疗对大肿瘤会带来更好的手术条件。I期和II期婴儿以及I期儿童可不进行放疗。