Management Outcome Of Wilms' Tumour In Kenyatta National Hospital (a Ten-year Retrospective Study)

Abstract

A total of 119 patients with Wilms tumuor were reviewed and analyzed. The ages at diagnosis varied from 4 months to 15 years. There were more male than female patients(male:female = 1.9: 1). The age incidence decreased with increasing age. Patients were distributed from all over Kenya. Most of the patients presented with an abdominal mass (88.2%). Most of the patients took over 28 days before seeking medical attention. The tumuor affected the left kidney (55%) more than the right (42.3%). In 2.7% of the patients the tumuor was bilateral. Majority of the patients (64.8%) were in stage III and IV. At the end of the study, 25.4% of the patients were dead, with 28.8% still on follow up and 45.8% having been lost to follow up