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July 19, 1971

Wilms' Tumor

Author Affiliations

Bethesda, Md

JAMA. 1971;217(3):342. doi:10.1001/jama.1971.03190030066025

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To the Editor.—  A 21/2-year survival of a patient with a ruptured Wilms' tumor was reported by Pochedly et al (216:334, 1971). Although the case report was quite interesting and an excellent result was eventually achieved with the combination of surgery, chemotherapy, and radiation therapy, I think it should be pointed out that the nephrectomy was performed on a patient with no evaluation of the contralateral kidney. The 5-year-old child was admitted to the Nassau County Medical Center emergency room and taken to the operating room after sustaining abdominal trauma. A right nephrectomy was performed.Since no preoperative intravenous pyelogram had been performed, the authors knew only that an organ which palpably appeared to be similar to a kidney existed in the left renal fossa. Moreover, they had no inkling as to the function of a left kidney if it were present. Removal of one kidney in the