Abstract
Aggressive treatment of bilateral Wilms' tumor should establish long-term survival equivalent to that accomplished in the treatment of unilateral nephroblastoma. Partial nephrectomy, bilaterally or with contralateral radical nephrectomy, is preferred when the hilar vessels are free of tumor. Radical nephrectomy with renal perfusion is a technic that allows resection of the tumor and autotransplantation if the ability to salvage the kidney is uncertain. Bilateral nephrectomy, hemodialysis, and allotransplantation should be performed with little delay when radiation and chemotherapy have not controlled the tumor.
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