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Wilimas JA et al. J Clin Oncol 1988; 6:1144-6

St. Jude Study (+ lung mets on CT only)

11/124 (9%) of Wilms’ tumor pts had negative CXR and positive

chest CT

Treated according to local stage (I.e. no lung RT)

4/11 (36%) relapsed – all pulmonary