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Journal of Indian Association of Pediatric Surgeons
Medknow Publications on behalf of the Indian Association of Pediatric Surgeons
ISSN: 0971-9261
EISSN: 0971-9261
Vol. 12, No. 3, 2007, pp. 116-119
Bioline Code: ip07042
Full paper language: English
Document type: Review Article
Document available free of charge

Journal of Indian Association of Pediatric Surgeons, Vol. 12, No. 3, 2007, pp. 116-119

 en Role of fine needle aspiration cytology in the management of pediatric renal tumors
Iyer VenkateswaranK

Abstract

Fine needle aspiration cytology (FNAC) is a useful pre-operative procedure in pediatric renal tumors. It is a safe technique that does not upstage the tumor and permits positive diagnosis of Wilm′s tumor in almost all aspirates with use of immunocytochemistry for cytokeratin and WT-1. Advanced information on diagnosis of Wilm′s tumor, especially, the presence of stroma predominance or anaplastic change is a guide to selection and monitoring of chemotherapy. Early diagnosis of clear cell sarcoma of the kidney (CCSK) by FNAC helps in the evaluation of bone metastasis and selection of Doxorubicin-based chemotherapy protocols to which the tumor is responsive. Thus, the routine use of FNAC is helpful for further investigation and management of pediatric renal masses.

Keywords
Children, fine needle aspiration cytology, renal tumors

 
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