Nephroblastoma In Wagr Syndrome: Clinical Perspectives, Management And Follow Up In Low,middle Income Country. A Case Report From The University Teaching Hospital,lusaka,zambia

WAGR syndrome (W: Wilms tumour, A: Aniridia,G : Genito urinary abnormalities ,R: Growth retardation) is a very rare genetic syndrome caused by chromosome 11p deletion/mutation manifesting as a wide range of anomalies and high risk of malignancies like nephroblastoma. Management requires multidisciplinary approach (oncologist, physician, surgeon, ophthalmologist, radiologist…) and long term follow up in view of the possibility of Chronic kidney disease and tumor relapses. Logistical shortfalls in LMIC poses global challenges in managing these rare conditions for better quality of life. This case review highlights some way forward on efficient management of 11p deletion syndrome in a low and middle income country,