{"id":5517,"date":"2025-04-30T07:44:55","date_gmt":"2025-04-30T07:44:55","guid":{"rendered":"https:\/\/echonews.fr\/?page_id=5517"},"modified":"2025-05-03T13:47:38","modified_gmt":"2025-05-03T13:47:38","slug":"urologie-cours","status":"publish","type":"page","link":"http:\/\/echonews.fr\/?page_id=5517","title":{"rendered":"Urologie-cours"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5517\" class=\"elementor elementor-5517\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-61c7cfb2 elementor-section-full_width elementor-section-stretched elementor-hidden-mobile elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"61c7cfb2\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-76e17750\" data-id=\"76e17750\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-594c5663 elementor-widget elementor-widget-image\" data-id=\"594c5663\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"2048\" height=\"880\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg\" class=\"attachment-full size-full wp-image-5382\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg 2048w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3-300x129.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3-1024x440.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3-768x330.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3-1536x660.jpg 1536w\" sizes=\"(max-width: 2048px) 100vw, 2048px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-1c9347f elementor-section-full_width elementor-section-stretched elementor-hidden-desktop elementor-hidden-tablet elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"1c9347f\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-72b6563\" data-id=\"72b6563\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5c04266 elementor-widget elementor-widget-image\" data-id=\"5c04266\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1200\" height=\"1600\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-uro-SMART.jpg\" class=\"attachment-full size-full wp-image-5649\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-uro-SMART.jpg 1200w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-uro-SMART-225x300.jpg 225w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-uro-SMART-768x1024.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-uro-SMART-1152x1536.jpg 1152w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-e951592 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"e951592\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-634e418\" data-id=\"634e418\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7d97934a elementor-widget-mobile__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"7d97934a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Demo<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-402ef052\" data-id=\"402ef052\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-148bc8fb elementor-widget-mobile__width-initial elementor-widget elementor-widget-image\" data-id=\"148bc8fb\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"596\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/01\/logodef00_2@3x-1024x596.png\" class=\"attachment-large size-large wp-image-3862\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/01\/logodef00_2@3x-1024x596.png 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/01\/logodef00_2@3x-300x175.png 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/01\/logodef00_2@3x-768x447.png 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/01\/logodef00_2@3x.png 1485w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-26e813d2\" data-id=\"26e813d2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5cd43852 elementor-widget elementor-widget-text-editor\" data-id=\"5cd43852\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Demo<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-363b2566 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"363b2566\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-3479cca1\" data-id=\"3479cca1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-25da30a7\" data-id=\"25da30a7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-595c2626 elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"595c2626\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"mailto:joseph.bonan@gmail.com\">\n\t\t\t<i aria-hidden=\"true\" class=\"hm hm-mail-open\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-207bb290\" data-id=\"207bb290\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f6835ed elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"1f6835ed\" data-element_type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<a class=\"elementor-icon\" href=\"https:\/\/x.com\/Jkbjkb1\">\n\t\t\t<i aria-hidden=\"true\" class=\"fab fa-x-twitter\"><\/i>\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-25 elementor-top-column elementor-element elementor-element-360c0da5\" data-id=\"360c0da5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-50e1deef elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"50e1deef\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-749c6ed7\" data-id=\"749c6ed7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-abdec35 elementor-widget elementor-widget-text-editor\" data-id=\"abdec35\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong>From Bibliography to Educational Materials<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-13d4ee4 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"13d4ee4\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9bf4151\" data-id=\"9bf4151\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ccfb26 elementor-widget elementor-widget-text-editor\" data-id=\"5ccfb26\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"\" data-start=\"153\" data-end=\"489\">In the evolving landscape of education, artificial intelligence offers a transformative opportunity for teachers and students alike. This demo aims to illustrate how, <span style=\"color: #2f7ba5;\"><strong>by leveraging the capabilities of today&#8217;s leading AI technologies<\/strong><\/span>, it is possible to generate a wide array of high-quality educational resources around a single subject.<\/p><p class=\"\" data-start=\"491\" data-end=\"959\">The introduction of AI has multiplied the teacher\u2019s capacity for content creation by a factor still difficult to measure. <span style=\"color: #2f7ba5;\"><strong>It dramatically enhances not only the number of materials produced but also their quality and variety.<\/strong><\/span> By using AI tools, educators can now design courses, synthesize complex bibliographies, create detailed lecture slides, develop case studies, formulate quizzes, and offer personalized learning aids\u2014at a speed and depth never before imaginable.<\/p><p class=\"\" data-start=\"961\" data-end=\"1264\">Our ambition is <span style=\"color: #2f7ba5;\"><strong>to show how these tools can support both the teacher and the student:<\/strong><\/span> assisting educators in the efficient conception and realization of their courses, and providing students with richer, more diverse materials to facilitate a deeper understanding and assimilation of the subject matter.<\/p><p class=\"\" data-start=\"1266\" data-end=\"1510\">Ultimately, <span style=\"color: #2f7ba5;\"><strong>rather than replacing the teacher\u2019s voice,<\/strong><\/span> AI stands as a powerful ally\u2014enabling educators to spend more time focusing on pedagogical strategy, personal mentorship, and the transmission of clinical wisdom that remains irreplaceable.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-5a21ef5 elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5a21ef5\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a98b4ab\" data-id=\"a98b4ab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eef6383 elementor-widget elementor-widget-text-editor\" data-id=\"eef6383\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong>Wilms Tumor:&nbsp;<\/strong><strong style=\"font-style: inherit;\">From Biology to Personalized Therapeutics<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-1c1ea01 elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"1c1ea01\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e047f53\" data-id=\"e047f53\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ef7a72 elementor-widget elementor-widget-text-editor\" data-id=\"6ef7a72\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><strong>Wilms Tumor: <br \/><\/strong><strong>From Biology to Personalized Therapeutics<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-55452836 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"55452836\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-468f9096\" data-id=\"468f9096\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7e47ab71 elementor-widget elementor-widget-image\" data-id=\"7e47ab71\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-1-1024x1024.jpg\" class=\"attachment-large size-large wp-image-5452\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-1-1024x1024.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-1-300x300.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-1-150x150.jpg 150w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-1-768x768.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-1.jpg 1070w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ef7c825 elementor-widget elementor-widget-text-editor\" data-id=\"ef7c825\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dr Anne Dupont<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d6f1af2 elementor-shape-rounded elementor-grid-0 e-grid-align-center elementor-widget elementor-widget-social-icons\" data-id=\"d6f1af2\" data-element_type=\"widget\" data-widget_type=\"social-icons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-social-icons-wrapper elementor-grid\">\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-hm-envelop elementor-repeater-item-8ef4679\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Hm-envelop<\/span>\n\t\t\t\t\t\t<i class=\"hm hm-envelop\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-linkedin elementor-repeater-item-22d535c\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Linkedin<\/span>\n\t\t\t\t\t\t<i class=\"fab fa-linkedin\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-x-twitter elementor-repeater-item-e1d7e7f\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">X-twitter<\/span>\n\t\t\t\t\t\t<i class=\"fab fa-x-twitter\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-1d0efd54\" data-id=\"1d0efd54\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-446c3d40 elementor-widget elementor-widget-image\" data-id=\"446c3d40\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-3-1024x1024.jpg\" class=\"attachment-large size-large wp-image-5451\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-3-1024x1024.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-3-300x300.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-3-150x150.jpg 150w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-3-768x768.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/enseignant-cc-3.jpg 1070w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7bb3b979 elementor-widget elementor-widget-text-editor\" data-id=\"7bb3b979\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dr Margaret Smith<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d5730c1 elementor-shape-rounded elementor-grid-0 e-grid-align-center elementor-widget elementor-widget-social-icons\" data-id=\"4d5730c1\" data-element_type=\"widget\" data-widget_type=\"social-icons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-social-icons-wrapper elementor-grid\">\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-hm-envelop elementor-repeater-item-8ef4679\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Hm-envelop<\/span>\n\t\t\t\t\t\t<i class=\"hm hm-envelop\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-linkedin elementor-repeater-item-33f156f\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Linkedin<\/span>\n\t\t\t\t\t\t<i class=\"fab fa-linkedin\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-4cf9f2a5\" data-id=\"4cf9f2a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3a430ba7 elementor-widget elementor-widget-image\" data-id=\"3a430ba7\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/03\/enseignant1-def-1024x1024.png\" class=\"attachment-large size-large wp-image-5212\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/03\/enseignant1-def-1024x1024.png 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/03\/enseignant1-def-300x300.png 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/03\/enseignant1-def-150x150.png 150w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/03\/enseignant1-def-768x768.png 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/03\/enseignant1-def-1536x1536.png 1536w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/03\/enseignant1-def.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4f52883c elementor-widget elementor-widget-text-editor\" data-id=\"4f52883c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dr Fran\u00e7ois durand<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d57e121 elementor-shape-rounded elementor-grid-0 e-grid-align-center elementor-widget elementor-widget-social-icons\" data-id=\"1d57e121\" data-element_type=\"widget\" data-widget_type=\"social-icons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-social-icons-wrapper elementor-grid\">\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-hm-envelop elementor-repeater-item-8ef4679\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Hm-envelop<\/span>\n\t\t\t\t\t\t<i class=\"hm hm-envelop\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-youtube elementor-repeater-item-c3ba047\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Youtube<\/span>\n\t\t\t\t\t\t<i class=\"fab fa-youtube\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<span class=\"elementor-grid-item\">\n\t\t\t\t\t<a class=\"elementor-icon elementor-social-icon elementor-social-icon-linkedin elementor-repeater-item-b144531\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-screen-only\">Linkedin<\/span>\n\t\t\t\t\t\t<i class=\"fab fa-linkedin\"><\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-25ad175 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"25ad175\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-186e9ce\" data-id=\"186e9ce\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9397cf5 elementor-widget elementor-widget-text-editor\" data-id=\"9397cf5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Bibliography<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd1a0e8 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"cd1a0e8\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-470013a elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"470013a\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4a8d8012\" data-id=\"4a8d8012\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43ab6d01 elementor-widget elementor-widget-toggle\" data-id=\"43ab6d01\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1131\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1131\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Multifaceted Functions of the Wilms Tumor 1 Protein: From Its Expression in Various Malignancies to Targeted Therapy \/ Qing Nian, Yan Lin, Jinhao Zeng, Yanna Zhang, Rongxing Liu Translational Oncology, Volume 52, 2025, Article 102237 https:\/\/doi.org\/10.1016\/j.tranon.2024.102237<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1131\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1131\"><ol><li><strong> Overview of WT1: Biology and Structure<\/strong><\/li><\/ol><p>WT1 (Wilms Tumor 1) is a zinc finger transcription factor encoded on chromosome 11p13, originally described as a tumor suppressor in pediatric nephroblastoma. However, its function is far more complex: depending on the cellular context, WT1 can act as an oncogene or a tumor suppressor. It regulates gene transcription, cellular differentiation, and organogenesis during development, and maintains homeostasis in adult tissues.<\/p><p>WT1 produces multiple isoforms (+KTS, \u2013KTS) through alternative splicing, each playing distinct roles in gene expression and tumor biology. Its expression is typically restricted to embryonic and select adult tissues like kidney podocytes, but is aberrantly upregulated in a wide array of cancers.<\/p><ol start=\"2\"><li><strong> Hematologic Malignancies and WT1<\/strong><\/li><\/ol><p><strong>a) Acute Myeloid Leukemia (AML)<\/strong><\/p><p>WT1 is mutated in ~15% of AML patients and often co-mutated with FLT3-ITD or NPM1. These mutations influence the Wnt\/\u03b2-catenin, TET2, and MEG3 pathways, promote leukemogenesis, and impact response to chemotherapy. WT1 overexpression enhances stemness, self-renewal, and resistance to apoptosis.<\/p><p><strong>b) Myelodysplastic Syndromes (MDS)<\/strong><\/p><p>WT1 is overexpressed in ~50% of MDS patients. It is associated with poor prognosis and disease progression. WT1 interacts synergistically with FLT3 mutations, contributing to transformation to AML.<\/p><p><strong>c) T-cell Acute Lymphoblastic Leukemia (T-ALL)<\/strong><\/p><p>WT1 mutations (~10% of T-ALL cases) activate the IL7R-JAK-STAT pathway and impair TP53-mediated DNA damage response. Co-occurrence with NOTCH1\/FBXW7\/FLT3 mutations suggests an oncogenic synergy.<\/p><p><strong>d) Chronic Myeloid Leukemia (CML)<\/strong><\/p><p>WT1 expression is increased in advanced CML via BCR-ABL1 activation. It contributes to resistance against tyrosine kinase inhibitors like imatinib by interfering with apoptosis and gene regulation through the WT1\/ZNF224\/c-Myc axis.<\/p><p><strong>e) Acute Promyelocytic Leukemia (APL)<\/strong><\/p><p>WT1 interacts with the PML-RARA fusion protein, altering differentiation. Noncoding mutations in WT1 may also contribute to leukemogenesis.<\/p><ol start=\"3\"><li><strong> WT1 in Solid Tumors<\/strong><\/li><\/ol><p><strong>a) Lung Cancer<\/strong><\/p><p>WT1 promotes VEGF isoform expression and angiogenesis. It may serve as a target to reverse resistance to EGFR inhibitors in non-small-cell lung cancer (NSCLC).<\/p><p><strong>b) Breast Cancer<\/strong><\/p><p>WT1 isoforms have distinct roles in ER-positive and triple-negative breast cancer. They affect ER\u03b1 signaling, promote EMT and metastasis, and may predict resistance to hormone therapy. WT1-targeted vaccines in combination with endocrine therapy show promising early results.<\/p><p><strong>c) Neuroblastoma<\/strong><\/p><p>In neuroblastoma, WT1 often functions as a tumor suppressor. It promotes differentiation through inhibition of PI3K\/Akt and MAPK\/ERK pathways. However, high WT1 is paradoxically associated with poor prognosis in non-MYCN-amplified tumors.<\/p><p><strong>d) Prostate Cancer<\/strong><\/p><p>WT1 downregulates E-cadherin, facilitating migration and metastasis. It also modulates VEGF transcription and androgen receptor activity, influencing hormone resistance.<\/p><p><strong>e) Hepatocellular and Pancreatic Cancer<\/strong><\/p><p>WT1 influences Wnt\/\u03b2-catenin, JAK2\/STAT3, and NF-\u03baB pathways. It promotes tumorigenesis, invasion, and modulates immune escape mechanisms. In pancreatic ductal adenocarcinoma, it interacts with STAT3 and miR-216a\/KRT7, facilitating metastasis.<\/p><p><strong>f) Ovarian Cancer<\/strong><\/p><p>WT1 is highly expressed in serous subtypes and promotes EMT via ERK1\/2 and E-calmodulin pathways. It is involved in mesenchymal\u2013epithelial transitions (MET) and cancer stem cell formation through interaction with EZH2.<\/p><p><strong>g) Astrocytomas\/Glioblastoma<\/strong><\/p><p>WT1 contributes to glioblastoma aggressiveness and poor prognosis. Its inhibition enhances radiosensitivity, and WT1 vaccines elicit cytotoxic immune responses in glioma patients.<\/p><ol start=\"4\"><li><strong> WT1 as a Therapeutic Target<\/strong><\/li><\/ol><p><strong>a) Chemical Inhibitors<\/strong><\/p><p>Agents like 17-AAG (Hsp90 inhibitor), TMPyP4 (G-quadruplex stabilizer), and daunorubicin reduce WT1 expression. These agents inhibit tumor growth and increase chemosensitivity in WT1-overexpressing malignancies.<\/p><p><strong>b) Natural Products<\/strong><\/p><p>Compounds such as bufalin, shikonin, aloin, curcumin, and resveratrol suppress WT1 expression and modulate apoptosis pathways. Marine-derived molecules also show potential in WT1 inhibition.<\/p><p><strong>c) Kinase Modulators<\/strong><\/p><p>GSK3\u03b2 affects WT1 stability and degradation. Dasatinib is proposed as a modulator to reduce cytokine release syndrome in combination therapies.<\/p><ol start=\"5\"><li><strong> Immunotherapy Strategies<\/strong><\/li><\/ol><ul><li><strong>Peptide Vaccines:<\/strong> WT1-derived peptides induce T-cell and humoral responses; trials show tolerability and clinical activity in AML and glioblastoma.<\/li><li><strong>Dendritic Cell Vaccines:<\/strong> Boost CD8+ T-cell responses; combination with chemotherapy improves remission rates.<\/li><li><strong>Bispecific Antibodies:<\/strong> T-cell engaging antibodies (e.g., ESK1-BiTE) target WT1 in HLA-A*02:01 context.<\/li><li><strong>TCR Gene Therapy:<\/strong> Autologous T cells engineered to express WT1-specific TCRs show persistence and safety in early-phase trials.<\/li><\/ul><p><strong>Conclusion and Future Prospects<\/strong><\/p><p>WT1 is a compelling, dual-role protein in cancer biology. It functions as a <strong>context-dependent oncogene or tumor suppressor<\/strong>, modulating multiple pathways in both hematologic and solid tumors. Its overexpression correlates with treatment resistance and poor prognosis.<\/p><p>Targeting WT1 is now a key area of translational research, with <strong>therapeutic strategies spanning small molecules, natural products, and immunotherapies<\/strong>. Though many approaches remain in preclinical or early clinical stages, the diversity of mechanisms through which WT1 drives cancer supports its status as a <strong>pan-cancer therapeutic target<\/strong>.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1132\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1132\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Insights into Personalized Care Strategies for Wilms Tumor: A Narrative Literature Review \/ Salma Karam, Salwa Ali, Mohamed Abdelrahman, Khaled Mahdy Biomedicines, 2024, Volume 12, Issue 7, Article 1455 https:\/\/doi.org\/10.3390\/biomedicines12071455<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1132\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1132\"><p><strong>Comprehensive Summary<\/strong><\/p><p>This narrative review explores the evolution of <strong>personalized medicine<\/strong> in the context of <strong>Wilms tumor (WT)<\/strong>, the most common renal malignancy in children. It synthesizes recent advancements in <strong>molecular diagnostics, risk stratification, and therapeutic innovations<\/strong>, offering a roadmap for the development of <strong>individualized care pathways<\/strong> in pediatric oncology.<\/p><ol><li><strong> Background and Rationale<\/strong><\/li><\/ol><p>Wilms tumor accounts for roughly <strong>7% of all childhood cancers<\/strong>, with a high survival rate (&gt;90%) for localized disease in developed countries. However, variability in outcomes persists due to <strong>biological heterogeneity<\/strong>, <strong>socioeconomic disparities<\/strong>, and <strong>treatment-related toxicity<\/strong>. The shift toward <strong>risk-adapted and genetically-informed strategies<\/strong> is positioned as key to improving outcomes while minimizing late effects.<\/p><ol start=\"2\"><li><strong> Genetic and Molecular Foundations<\/strong><\/li><\/ol><p>Key genetic players such as <strong>WT1, CTNNB1, SIX1, MYCN<\/strong>, and <strong>WTX<\/strong> are central to WT pathogenesis. The review emphasizes that:<\/p><ul><li><strong>WT1 mutations<\/strong> are highly predictive of prognosis, especially in <strong>bilateral disease<\/strong>.<\/li><li><strong>SIX2 expression<\/strong>, <strong>DNA methylation profiles<\/strong>, and circulating <strong>miRNAs<\/strong> (e.g., miR-144-3p) provide <strong>non-invasive biomarkers<\/strong>.<\/li><li>Mutations in <strong>DIS3<\/strong> and <strong>TERT<\/strong> are noted in relapsed WT, underlining the <strong>evolution of tumor biology over time<\/strong>.<\/li><\/ul><ol start=\"3\"><li><strong> Diagnostics: Beyond Morphology<\/strong><\/li><\/ol><p>The authors advocate for integrating <strong>imaging<\/strong>, <strong>molecular<\/strong>, and <strong>epigenetic<\/strong> data to enable early detection and treatment personalization:<\/p><ul><li><strong>Ultrasound<\/strong>, <strong>MRI<\/strong>, and <strong>CT<\/strong> remain standard imaging tools, but now enhanced with <strong>radiomics<\/strong> and <strong>3D segmentation<\/strong>.<\/li><li><strong>Liquid biopsies<\/strong>, including <strong>ddPCR for PIK3CA mutations<\/strong> in urine\/plasma, offer a <strong>minimally invasive<\/strong> route to real-time monitoring.<\/li><li>Genomic and transcriptomic tools provide detailed <strong>tumor profiling<\/strong>, now entering routine clinical pipelines.<\/li><\/ul><ol start=\"4\"><li><strong> Risk Stratification and Prognostic Modeling<\/strong><\/li><\/ol><p>The review underscores a paradigm shift from stage-based to <strong>biomarker-based stratification<\/strong>:<\/p><ul><li>Tumor <strong>volume<\/strong>, while still a classical metric, gains predictive power when integrated with molecular profiles.<\/li><li><strong>Nomograms<\/strong> using multi-omic and clinical data help forecast recurrence, survival, and therapy response.<\/li><li><strong>Machine learning<\/strong> models incorporating <strong>radiomics<\/strong>, <strong>genomics<\/strong>, and <strong>clinical data<\/strong> are under development to support decision-making.<\/li><\/ul><ol start=\"5\"><li><strong> Therapeutic Innovations and Personalization<\/strong><\/li><li><strong>a) Standard Therapy with Personalization<\/strong><\/li><\/ol><ul><li>Traditional agents (vincristine, actinomycin D, doxorubicin) remain effective, but dose and duration are increasingly adjusted based on molecular risk.<\/li><li><strong>Nephron-sparing surgery<\/strong> and <strong>preoperative chemotherapy<\/strong> are optimized using volumetric and genetic data.<\/li><\/ul><ol><li><strong>b) Targeted Therapies<\/strong><\/li><\/ol><ul><li><strong>HIF-2\u03b1 inhibitors<\/strong> and <strong>IGF-1R pathway blockers<\/strong> are in trials for treatment-resistant cases.<\/li><li>Targeting the <strong>Wnt\/\u03b2-catenin<\/strong> and <strong>AKT<\/strong> pathways is a key focus.<\/li><\/ul><ol><li><strong>c) Immunotherapy<\/strong><\/li><\/ol><ul><li><strong>WT1 peptide vaccines<\/strong>, immune checkpoint inhibitors (PD-1\/PD-L1), and <strong>CAR-T cells<\/strong> are emerging options, especially for relapsed\/refractory WT.<\/li><li>Combining <strong>WT1 vaccines with HLA-matched peptides<\/strong> enhances immune targeting with early evidence of improved outcomes.<\/li><\/ul><ol><li><strong>d) Genetic and Epigenetic Interventions<\/strong><\/li><\/ol><ul><li>Techniques such as <strong>CRISPR-Cas9<\/strong>, RNA interference, and <strong>methylation modulators<\/strong> are in early-phase development.<\/li><li>These strategies aim to <strong>reverse tumor-promoting gene expression<\/strong> and <strong>reduce resistance mechanisms<\/strong>.<\/li><\/ul><ol start=\"6\"><li><strong> Radiomics and Advanced Imaging<\/strong><\/li><\/ol><p>The review details how <strong>radiomic analysis<\/strong> and AI-assisted imaging can predict histological subtypes, therapeutic response, and relapse risk. Coupled with genomic data, they provide the basis for <strong>integrative predictive models<\/strong> that will soon guide both <strong>surgical planning<\/strong> and <strong>post-treatment surveillance<\/strong>.<\/p><ol start=\"7\"><li><strong> Global Collaboration and Equity in Care<\/strong><\/li><\/ol><ul><li>The authors call for <strong>international cooperation<\/strong> to validate predictive models and ensure <strong>equitable access<\/strong> to genomic testing and targeted therapies.<\/li><li>Socioeconomic disparities must be addressed to democratize personalized medicine, particularly in resource-limited settings.<\/li><\/ul><ol start=\"8\"><li><strong> Future Directions and Framework Proposal<\/strong><\/li><\/ol><p>The authors propose a <strong>multi-dimensional predictive framework<\/strong> based on:<\/p><ol><li><strong>Next-generation sequencing (NGS)<\/strong> for WT1\/CTNNB1\/WTX<\/li><li><strong>Epigenomic profiling<\/strong> for methylation and histone changes<\/li><li><strong>Transcriptomic analysis<\/strong> (e.g., RNA-seq)<\/li><li><strong>Radiomic features<\/strong> from diffusion-weighted MRI<\/li><li><strong>Integrated AI models<\/strong> for real-time decision support<\/li><li><strong>Clinical teams<\/strong> trained in data interpretation and continuous feedback updating from registries<\/li><\/ol><p><strong>Conclusion<\/strong><\/p><p>This review establishes that the <strong>future of WT therapy lies in personalization<\/strong>. By integrating <strong>multi-omic diagnostics<\/strong>, <strong>predictive modeling<\/strong>, and <strong>innovative therapies<\/strong>, clinicians can move toward tailoring care to the individual child. These efforts promise not only <strong>higher survival<\/strong>, but also <strong>reduced toxicity<\/strong>, <strong>better quality of life<\/strong>, and <strong>long-term survivorship<\/strong>.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1133\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1133\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Wilms\u2019 Tumor \u2013 An Audit \/ Yogesh Kumar Sarin, Pute U. Losu, Anita Nangia Journal of Indian Association of Pediatric Surgeons, Volume 29, Issue 6 (Nov\u2013Dec 2024), Pages 600\u2013607 https:\/\/doi.org\/10.4103\/jiaps.jiaps_87_24<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1133\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1133\"><p><strong>Comprehensive Summary<\/strong><\/p><p>This retrospective audit analyzes <strong>23 pediatric Wilms\u2019 tumor (WT) cases<\/strong> managed at a single Indian tertiary-care center over a 3-year period (2021\u20132024). The study evaluates how <strong>SIOP Umbrella protocols<\/strong> were applied and adapted in a resource-limited setting, offering insights into <strong>protocol adherence, surgical approaches, tumor response, immunohistochemistry, and outcomes<\/strong> in unilateral and bilateral WT.<\/p><ol><li><strong> Patient Demographics and Study Design<\/strong><\/li><\/ol><ul><li><strong>Total patients:<\/strong> 23 (19 unilateral WT [uWT], 4 bilateral WT [bWT])<\/li><li><strong>Median age:<\/strong> 36 months<\/li><li><strong>Male:Female ratio:<\/strong> 2.3:1<\/li><li><strong>Data sources:<\/strong> Medical records, imaging, core-needle biopsy (CNB), histopathology, immunohistochemistry (IHC)<\/li><li>Ethical approval obtained; study focused only on <strong>de novo cases treated in-house<\/strong><\/li><\/ul><ol start=\"2\"><li><strong> Diagnostics and Protocol Deviations<\/strong><\/li><\/ol><ul><li>CNB performed in 22\/23 patients pre-therapy, including IHC for <strong>WT1, p53, and Ki-67<\/strong><\/li><li>Despite SIOP-RTSG discouraging routine CNB, it was performed routinely here due to the higher incidence of <strong>non-Wilms renal tumors<\/strong> (15\u201320%) in South Asia<\/li><li>All patients, except one neonate, received <strong>neoadjuvant chemotherapy (NACT)<\/strong><\/li><li><strong>Tumor volumetry<\/strong> (via CECT): median pre-NACT tumor volume = 1023 mL, post-NACT = 612 mL<\/li><li>Tumor shrinkage seen in 61%, stable\/increased in 39% \u2013 <strong>volume reduction was not predictive of outcome<\/strong><\/li><\/ul><ol start=\"3\"><li><strong> Surgical Management<\/strong><\/li><\/ol><ul><li><strong>Nephroureterectomy<\/strong> in 17 renal units<\/li><li><strong>Nephron-sparing surgery (NSS)<\/strong> in 10 renal units (including in <strong>non-syndromic uWT<\/strong> and <strong>multifocal disease<\/strong>)<\/li><li>NSS sometimes performed against Umbrella guidelines, particularly in tumors &gt;300 mL<\/li><li>NSS associated with better postoperative renal function, lower hypertension, and preserved renal mass<\/li><li>No intraoperative tumor rupture (IOTR) occurred, despite several large tumors<\/li><\/ul><ol start=\"4\"><li><strong> Histopathology and Risk Stratification<\/strong><\/li><\/ol><ul><li><strong>Intermediate risk histology:<\/strong> 21 patients (mixed, stromal, regressive, focal anaplasia)<\/li><li><strong>High risk:<\/strong> 2 patients (diffuse anaplasia, blastemal type)<\/li><li>IHC findings:<ul><li>WT1 positivity in 21\/23<\/li><li>p53 mutations in 7\/23<\/li><li>High Ki-67 (&gt;70%) correlated with <strong>chemoresistance and poor prognosis<\/strong><\/li><\/ul><\/li><li>Low Ki-67 + p53 mutation often predicted poor NACT response<\/li><\/ul><ol start=\"5\"><li><strong> Chemotherapy, Radiation, and Supportive Care<\/strong><\/li><\/ol><ul><li><strong>Adjuvant chemotherapy<\/strong> completed in 18 patients, 2 on treatment<\/li><li><strong>Flank radiation<\/strong> used in 6 patients<\/li><li>Multidisciplinary care included free lodging, nutrition, and counseling (\u201c<strong>Home Away from Home<\/strong>\u201d model)<\/li><li><strong>In-patient chemotherapy<\/strong> reduced abandonment risk<\/li><li>Despite lacking in-house radiotherapy, radiation was started within 10 days post-op via national network<\/li><\/ul><ol start=\"6\"><li><strong> Recurrences and Metastases<\/strong><\/li><\/ol><ul><li><strong>Four patients had metastatic WT at diagnosis:<\/strong> 2 with pulmonary, 2 with liver metastasis<\/li><li>Pulmonary metastases were managed with chemotherapy \u00b1 bilateral metastatectomy<\/li><li><strong>Liver metastasis<\/strong> had worse outcomes, including one metachronous recurrence post-treatment<\/li><li>Two recurrences occurred locally (renal bed); both patients survived after multimodal therapy<\/li><\/ul><ol start=\"7\"><li><strong> Outcomes and Survival Analysis<\/strong><\/li><\/ol><ul><li><strong>1-year overall survival (OS):<\/strong> 84%<\/li><li><strong>1-year event-free survival (EFS):<\/strong> 76%<\/li><li><strong>2-year OS:<\/strong> 77%<\/li><li><strong>2-year EFS:<\/strong> 76%<\/li><li>For localized uWT (Stages I\u2013III), <strong>2-year OS and EFS reached 100% and 93%, respectively<\/strong><\/li><li>Outcomes for Stage IV and bWT remain poor, mirroring national data<\/li><\/ul><ol start=\"8\"><li><strong> Discussion and Strategic Insights<\/strong><\/li><\/ol><ul><li>Switching from upfront surgery to <strong>SIOP-based neoadjuvant chemotherapy<\/strong> dramatically improved outcomes, particularly in reducing IOTR and relapses<\/li><li>Challenges remain in identifying <strong>non-responders to NACT<\/strong>, particularly those with stromal or blastemal histology<\/li><li>Systematic use of CNB and IHC helps in <strong>pre-treatment risk identification<\/strong>, albeit controversial<\/li><li>The use of <strong>centralized support services<\/strong>, early multidisciplinary planning, and enhanced follow-up are crucial for optimal outcomes in LMICs<\/li><li>Despite limitations, the <strong>center matched short-term outcomes from high-income countries for localized WT<\/strong><\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5e7e3f9e\" data-id=\"5e7e3f9e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4cd9c8c5 elementor-widget elementor-widget-toggle\" data-id=\"4cd9c8c5\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1281\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1281\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Wilms\u2019 Tumor: A Review of Clinical Characteristics, Treatment Advances, and Research Opportunities \/ Mihai Cristian Neagu, Vlad Lauren\u021biu David, Emil Radu Iacob, Sorin Dan Chiriac, Florin Lucian Muntean, Eugen Sorin Boia Medicina, 2025, Volume 61, Issue 3, Article 491 https:\/\/doi.org\/10.3390\/medicina61030491<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1281\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1281\"><p><strong>Summary:<\/strong><\/p><p>This comprehensive review synthesizes current knowledge on <strong>Wilms tumor (WT)<\/strong>\u2014also called <strong>nephroblastoma<\/strong>\u2014with an emphasis on its <strong>clinical profile, treatment paradigms, molecular markers<\/strong>, and <strong>research gaps<\/strong>. It provides a global perspective and addresses both <strong>standardized treatment advances<\/strong> and <strong>novel, personalized approaches<\/strong>, while also recognizing challenges faced in resource-limited settings.<\/p><ol><li><strong> Clinical Features and Classification<\/strong><\/li><\/ol><p>Wilms tumor is the <strong>most common pediatric renal malignancy<\/strong>, accounting for over <strong>90% of childhood kidney tumors<\/strong>. It typically occurs in children under 5 years old, and more than 90% of diagnoses are made before age 3.<\/p><ul><li><strong>Histologic classification<\/strong> includes:<ul><li><em>Triphasic<\/em>: blastemal, epithelial, and stromal elements (most common)<\/li><li><em>Biphasic\/Monophasic<\/em>: less frequent, variable prognosis<\/li><\/ul><\/li><li><strong>Bilateral tumors<\/strong> occur in 4\u20138% of cases and are often syndromic or associated with nephroblastomatosis.<\/li><li><strong>Syndromic associations<\/strong>: WAGR, Denys-Drash, Beckwith-Wiedemann<\/li><li><strong>Clinical presentation<\/strong>: painless abdominal mass, hematuria, hypertension, and occasionally congestive heart failure<\/li><\/ul><ol start=\"2\"><li><strong> Molecular and Genetic Underpinnings<\/strong><\/li><\/ol><ul><li>Key gene mutations: <strong>WT1, WT2 (11p15), CTNNB1, TP53, WTX<\/strong><\/li><li><strong>Loss of heterozygosity<\/strong> (LOH) at 1p, 16q, and gain of 1q are critical prognostic biomarkers<\/li><li>Mutations in <strong>TP53<\/strong> are linked to <em>anaplastic histology<\/em> and <strong>poor outcomes<\/strong><\/li><li><strong>Epigenetic alterations<\/strong>: promoter methylation of genes like <em>HIC1<\/em>, <em>RASSF1<\/em>, and miRNA profiles (miR-21, miR-130b) serve as <strong>prognostic and predictive markers<\/strong><\/li><\/ul><ol start=\"3\"><li><strong> Diagnosis and Imaging<\/strong><\/li><\/ol><ul><li>First-line imaging: <strong>ultrasound<\/strong>, followed by <strong>CT or MRI<\/strong><\/li><li><strong>Apparent diffusion coefficient (ADC)<\/strong> values on MRI correlate with histopathology post-chemotherapy<\/li><li>Imaging is essential for:<ul><li>Detecting <strong>venous thrombus<\/strong><\/li><li>Determining <strong>tumor volume<\/strong><\/li><li>Assessing <strong>treatment response<\/strong><\/li><\/ul><\/li><\/ul><ol start=\"4\"><li><strong> Current and Emerging Treatments<\/strong><\/li><li><strong>a) Standard Protocols<\/strong><\/li><\/ol><ul><li>Based on <strong>COG<\/strong> and <strong>SIOP<\/strong> frameworks<\/li><li>Treatment includes <strong>nephrectomy<\/strong>, <strong>chemotherapy<\/strong>, and sometimes <strong>radiotherapy<\/strong><\/li><li><strong>Flank radiation<\/strong> is associated with a significantly higher rate of late secondary malignancies (up to 61%)<\/li><\/ul><ol><li><strong>b) Nephron-Sparing Surgery (NSS)<\/strong><\/li><\/ol><ul><li>NSS is increasingly used in selected cases (especially bilateral WT) and shows <strong>comparable outcomes<\/strong> with total nephrectomy for localized tumors<\/li><\/ul><ol><li><strong>c) Novel Therapeutics<\/strong><\/li><\/ol><ul><li>Targeted agents: PIK3R3 inhibitors (ZSTK474), HIF-1\u03b1 inhibitors, BET inhibitors (e.g., BRD4)<\/li><li><strong>Immunotherapy<\/strong>: adoptive T-cell therapy, vaccines targeting WT1 antigens<\/li><li><strong>Multidrug combinations<\/strong> (e.g., vincristine + irinotecan + temozolomide + bevacizumab) are being trialed for relapsed disease<\/li><\/ul><ol start=\"5\"><li><strong> Disparities in Global Outcomes<\/strong><\/li><\/ol><ul><li><strong>High-income countries<\/strong> report &gt;90% survival for localized WT<\/li><li><strong>Low- and middle-income countries (LMICs)<\/strong> face &lt;50% survival due to:<ul><li>Late presentation<\/li><li>Treatment abandonment<\/li><li>Malnutrition<\/li><\/ul><\/li><li><strong>International collaborations<\/strong> like the Wilms Tumor Africa Project are addressing these disparities through protocol harmonization<\/li><\/ul><ol start=\"6\"><li><strong> Future Research Directions<\/strong><\/li><\/ol><ul><li><strong>Large-scale genomic and epigenomic studies<\/strong> are required to better define:<ul><li>High-risk tumor biology<\/li><li>Chemoresistance mechanisms<\/li><li>Prognostic biomarkers (e.g., lncRNAs like SOX21-AS1)<\/li><\/ul><\/li><li><strong>Tumor microenvironment and miRNAs<\/strong> are emerging as targets for therapy<\/li><li><strong>Rare variants<\/strong> like <em>teratoid Wilms tumor<\/em> warrant dedicated studies due to atypical biology<\/li><\/ul><ol start=\"7\"><li><strong> Long-Term Outcomes and Surveillance<\/strong><\/li><\/ol><ul><li>15% of patients experience <strong>recurrence<\/strong>, often with high mortality<\/li><li><strong>Late effects<\/strong> include:<ul><li>Second malignancies (especially after radiotherapy)<\/li><li>Renal dysfunction<\/li><li>Psychosocial complications<\/li><\/ul><\/li><li>Surveillance strategies include regular imaging and screening for complications<\/li><\/ul><p><strong>Conclusion<\/strong><\/p><p>The review emphasizes the <strong>multifactorial nature of Wilms tumor<\/strong> involving histological, genetic, and environmental components. As <strong>survival improves<\/strong>, efforts must focus on <strong>risk stratification, reduction of treatment burden<\/strong>, and <strong>integration of precision medicine tools<\/strong>. Future success in WT care hinges on <strong>international cooperation<\/strong>, <strong>advanced molecular diagnostics<\/strong>, and the <strong>development of integrative predictive models<\/strong>.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1282\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1282\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">New Approaches to Risk Stratification for Wilms Tumor \/ Marie V. Nelson, Marry M. van den Heuvel-Eibrink, Norbert Graf, Jeffrey S. Dome Current Opinion in Pediatrics, February 2021, Volume 33, Issue 1, Pages 40\u201348 https:\/\/doi.org\/10.1097\/MOP.0000000000000988<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1282\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1282\"><p><strong>Comprehensive Summary:<\/strong><\/p><p>This review explores the <strong>evolution of prognostic factors<\/strong> in <strong>Wilms tumor (WT)<\/strong> management, emphasizing the integration of <strong>clinical, histological, and molecular markers<\/strong> to guide risk-adapted therapy. Through comparative analysis of the <strong>Children\u2019s Oncology Group (COG)<\/strong> and <strong>International Society of Pediatric Oncology (SIOP)<\/strong> protocols, the article outlines how risk stratification has shaped personalized therapy, enhanced outcomes, and reduced treatment toxicity.<\/p><ol><li><strong> Epidemiology and Background<\/strong><\/li><\/ol><p>Wilms tumor is the <strong>most common malignant renal tumor<\/strong> in children and the <strong>second most frequent extracranial solid tumor<\/strong>. It occurs in ~1 in 10,000 children and is diagnosed before the age of 5 in the majority of cases. Most tumors are unilateral, but 5\u201310% are bilateral, often associated with <strong>genetic syndromes<\/strong> like WAGR, Denys-Drash, and Beckwith-Wiedemann.<\/p><ol start=\"2\"><li><strong> Historical Risk Stratification<\/strong><\/li><\/ol><p>Originally, only <strong>tumor stage<\/strong> and <strong>histologic subtype<\/strong> were used to define risk and guide treatment. COG and SIOP have progressively expanded these criteria to incorporate <strong>tumor volume<\/strong>, <strong>genetic markers<\/strong>, <strong>response to therapy<\/strong>, and <strong>age at diagnosis<\/strong>.<\/p><ol start=\"3\"><li><strong> Key Prognostic Markers<\/strong><\/li><\/ol><p><strong>a) Tumor Stage and Histology<\/strong><\/p><ul><li>Still foundational, but now refined with additional criteria.<\/li><li><strong>Anaplastic histology<\/strong> remains a critical negative prognostic factor, requiring intensified chemotherapy and radiotherapy.<\/li><\/ul><p><strong>b) Loss of Heterozygosity (LOH) at 1p and 16q<\/strong><\/p><ul><li>Associated with <strong>poorer prognosis<\/strong> and <strong>higher recurrence<\/strong>.<\/li><li>Patients with LOH at either locus receive more aggressive chemotherapy.<\/li><\/ul><p><strong>c) Chromosome 1q Gain<\/strong><\/p><ul><li>An <strong>emerging biomarker<\/strong> linked to adverse outcomes.<\/li><li>Found in ~30% of patients; its integration in future trials is planned.<\/li><\/ul><p><strong>d) Lung Nodule Response<\/strong><\/p><ul><li>In stage IV patients with pulmonary metastases, <strong>response to chemotherapy<\/strong> dictates whether <strong>whole-lung irradiation (WLI)<\/strong> can be safely omitted.<\/li><li><strong>1q gain<\/strong> predicts poor EFS if WLI is omitted.<\/li><\/ul><ol start=\"4\"><li><strong> COG vs. SIOP Strategies<\/strong><\/li><\/ol><p><strong>COG Approach:<\/strong><\/p><ul><li>Upfront nephrectomy enables <strong>early histological and molecular characterization<\/strong>.<\/li><li>Intensifies treatment in patients with <strong>diffuse anaplasia<\/strong>, <strong>incomplete lung response<\/strong>, or <strong>LOH at 1p\/16q<\/strong>.<\/li><li>Recent trials: AREN0532, AREN0533, AREN0321.<\/li><\/ul><p><strong>SIOP Approach:<\/strong><\/p><ul><li>Emphasizes <strong>preoperative chemotherapy<\/strong> to reduce intraoperative tumor rupture.<\/li><li>Risk stratification includes <strong>volumetric<\/strong> and <strong>histologic<\/strong> response to therapy.<\/li><li>UMBRELLA protocol: prospective global study aiming to integrate <strong>new molecular markers<\/strong>, standardize radiologic assessment, and <strong>personalize therapy<\/strong> further.<\/li><\/ul><ol start=\"5\"><li><strong> Molecular Advances and Future Directions<\/strong><\/li><\/ol><ul><li>Circulating tumor DNA (ctDNA), <strong>microRNAs (miRNAs)<\/strong>, and <strong>methylation profiling<\/strong> show promise as minimally invasive tools for diagnosis and monitoring.<\/li><li>Machine learning models integrating <strong>genomic, radiologic, and clinical data<\/strong> are under development.<\/li><li>Future trials (COG and SIOP) will use <strong>1q gain<\/strong> status to tailor therapy: omitting or augmenting based on molecular risk.<\/li><\/ul><p><strong>Conclusion<\/strong><\/p><p>The refinement of risk stratification in Wilms tumor has led to <strong>safer and more effective therapies<\/strong>, improving survival while reducing long-term toxicity. By incorporating <strong>clinical<\/strong>, <strong>histologic<\/strong>, and <strong>molecular<\/strong> markers, and leveraging <strong>treatment response data<\/strong>, clinicians can now offer truly <strong>personalized care<\/strong>. Ongoing and future research will focus on refining predictive models and incorporating <strong>liquid biopsy<\/strong>, <strong>genomic profiling<\/strong>, and <strong>AI-based stratification<\/strong> into routine clinical practice.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1283\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1283\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Late Effects of Wilms\u2019 Tumor Treatment \/ S. Silvente Bernal, O. Gir\u00f3n Vallejo, A. S\u00e1nchez S\u00e1nchez, C. Menacho Hern\u00e1ndez, J. Rod\u00f3n Berr\u00edo, B.A. Parra Gelder Cirug\u00eda Pedi\u00e1trica, 2024, Volume 37, Pages 116\u2013122 https:\/\/doi.org\/10.54847\/cp.2024.03.13<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1283\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1283\"><p><strong>Extended Summary<\/strong><\/p><p>This article presents a retrospective analysis of <strong>late adverse effects<\/strong> in <strong>survivors of Wilms\u2019 tumor (WTS)<\/strong> treated between 1977 and 2023 at a single pediatric oncology center in Spain. With advances in treatment increasing survival rates above 90%, this study focuses on understanding the <strong>chronic health conditions<\/strong> that may arise long after therapy completion.<\/p><ol><li><strong> Study Cohort and Methodology<\/strong><\/li><\/ol><ul><li><strong>Sample size:<\/strong> 50 patients (25 males, 25 females)<\/li><li><strong>Age at diagnosis:<\/strong> Mean = 3.6 years; 86% diagnosed before age 5<\/li><li><strong>Tumor laterality:<\/strong> 85% unilateral, 12% bilateral, 1 extrarenal<\/li><li><strong>Treatment strategy:<\/strong> 94% followed <strong>ISPO<\/strong> (European) protocol; 1 patient treated per NWTSG (American) protocol<\/li><li><strong>Neoadjuvant chemotherapy:<\/strong> Administered to 90%<\/li><li><strong>Most common drugs:<\/strong> Actinomycin D and vincristine (78%), anthracyclines (28%)<\/li><li><strong>Surgery:<\/strong> 84% underwent total nephrectomy<\/li><li><strong>Radiotherapy:<\/strong> 34% received it, mostly postoperatively<\/li><\/ul><ol start=\"2\"><li><strong> Adverse Effects \u2013 Overview by Organ System<\/strong><\/li><\/ol><p><strong>a) Renal Disorders (46%)<\/strong><\/p><ul><li>Most common sequela<\/li><li>11% developed chronic renal disease (CRD), GFR &lt; 90 mL\/min<\/li><li>25% experienced recurrent urinary infections, inflammation, or renal lithiasis<\/li><\/ul><p><strong>b) Cardiac Disorders (23%)<\/strong><\/p><ul><li>Linked mostly to <strong>anthracyclines<\/strong> (e.g., doxorubicin)<\/li><li>Manifestations: hypertension (13%), ventricular dysfunction (4%), septal hypertrophy, bicuspid aortic valve<\/li><\/ul><p><strong>c) Endocrine Disorders (26%)<\/strong><\/p><ul><li>Predominantly <strong>subclinical hypothyroidism (13%)<\/strong> and obesity<\/li><\/ul><p><strong>d) Reproductive Disorders (13%)<\/strong><\/p><ul><li>4% of girls had diminished ovarian reserve after radiotherapy<\/li><li>2 girls had successful pregnancies; 1 had received radiotherapy<\/li><li>1 male developed <strong>azoospermia<\/strong> after relapse therapy including alkylating agents<\/li><\/ul><p><strong>e) Second Neoplasms (SN) (9%)<\/strong><\/p><ul><li>4 cases: breast cancer, pituitary adenoma, osteochondroma, and basal cell carcinoma<\/li><li>All had received radiotherapy, confirming its role in SN development<\/li><\/ul><p><strong>f) Musculoskeletal (28%)<\/strong><\/p><ul><li>14% scoliosis, 2% lumbar hyperlordosis<\/li><li>Often radiation-induced<\/li><\/ul><p><strong>g) Neurological and Pulmonary Disorders (15% each)<\/strong><\/p><ul><li>One case of restrictive lung disease, others with recurrent respiratory infections or congenital anomalies<\/li><\/ul><p><strong>h) Skin Disorders (36%), Gastrointestinal (17%), Ophthalmologic (15%), and ORL (28%) effects also observed<\/strong><\/p><p><strong>3. Psychosocial and Quality of Life Impact<\/strong><\/p><ul><li>Psychological disorders affected 21% of patients: anxiety, depression, low self-esteem<\/li><li>13% experienced <strong>academic and social difficulties<\/strong><\/li><li>Concerns about fertility were raised by multiple patients during follow-up surveys<\/li><li>Emphasizes the <strong>non-physical burden<\/strong> of long-term survivorship<\/li><\/ul><p><strong>4. Recurrence and Treatment Intensification<\/strong><\/p><ul><li>11% had <strong>relapse<\/strong>, predominantly pulmonary<\/li><li>1 patient required <strong>intensified chemotherapy<\/strong> due to poor initial response<\/li><\/ul><p><strong style=\"font-size: 16px;\">5. Conclusions and Recommendations<\/strong><\/p><p>The study confirms that <strong>Wilms tumor survivors are at significant risk for multi-system late effects<\/strong>, particularly affecting <strong>renal, cardiac, endocrine, and reproductive systems<\/strong>. It calls for:<\/p><ul><li><strong>Close long-term follow-up<\/strong><\/li><li><strong>Minimizing radiotherapy and anthracycline use<\/strong><\/li><li><strong>Psychosocial support programs<\/strong><\/li><li><strong>Tailored surveillance protocols<\/strong> that include fertility preservation, cardiac screening, and renal monitoring<\/li><\/ul><p>These efforts are essential to provide <strong>survivors with a quality of life comparable to the general population<\/strong>, acknowledging that treatment side effects may appear decades after remission.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-78ede382 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"78ede382\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-294fbea3\" data-id=\"294fbea3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-87b9b83 elementor-widget elementor-widget-text-editor\" data-id=\"87b9b83\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Presentation of the Course Topic<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-414c44ff elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"414c44ff\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-93bd22c elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"93bd22c\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ba0cdb5\" data-id=\"ba0cdb5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7f33289 elementor-widget elementor-widget-text-editor\" data-id=\"7f33289\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Wilms Tumor (WT), or nephroblastoma, is the most common malignant renal tumor in children, representing a cornerstone of pediatric oncology. Thanks to international collaboration and therapeutic advances, <span style=\"color: #2f7ba5;\"><strong>survival rates for localized disease now exceed 90%.<\/strong><\/span> However, despite these successes, challenges persist, particularly regarding relapsed, refractory, and high-risk cases, as well as long-term sequelae in survivors.<\/p><p>This course offers an in-depth exploration of Wilms Tumor, beginning with its biological foundations, including the role of key genetic drivers like WT1, CTNNB1, and emerging markers such as 1q gain and TRIM28 mutations. We will review histological subtypes, molecular stratification, and the impact of tumor heterogeneity on prognosis and treatment. <strong><span style=\"color: #2f7ba5;\">A detailed discussion will be dedicated to modern diagnostic approaches, integrating advanced imaging (diffusion-weighted MRI, 3D segmentation) and non-invasive molecular techniques such as liquid biopsy.<\/span><\/strong><\/p><p>Participants will gain a comprehensive understanding of contemporary treatment strategies, from standard protocols based on tumor stage and histology to cutting-edge innovations including immunotherapy, targeted molecular therapies, and nephron-sparing surgery. Special emphasis will be placed on the integration of personalized medicine approaches, where genomic and transcriptomic profiling enables tailoring treatments to individual patient risk profiles.<\/p><p>Finally, the course will address the late effects of Wilms Tumor treatments, such as cardiotoxicity, renal dysfunction, and secondary malignancies, and will outline survivorship care plans adapted to long-term follow-up needs.<\/p><p>Through a multidisciplinary perspective, combining oncology, genetics, radiology, surgery, and survivorship care, this course will equip future urologists and pediatric oncologists with the necessary knowledge and skills to optimize outcomes for Wilms Tumor patients in the era of precision medicine.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-f1394af elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"f1394af\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6be4504\" data-id=\"6be4504\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9e69940 elementor-widget elementor-widget-text-editor\" data-id=\"9e69940\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Detailed Course Outline with Timed Chapters <\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-11d769c elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"11d769c\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-b3ce7a3 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"b3ce7a3\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-448d34d\" data-id=\"448d34d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-65ea212 elementor-widget elementor-widget-toggle\" data-id=\"65ea212\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1061\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1061\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 1 \u2014 INTRODUCTION TO WILMS TUMOR (10 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1061\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1061\"><p><strong>1.1 Definition and Historical Background (2 min)<\/strong><\/p><ul><li>Definition of Wilms Tumor (WT) or nephroblastoma<\/li><li>Discovery by Max Wilms (1899) and early therapeutic approaches<\/li><\/ul><p><strong>1.2 Epidemiology and Demographics (2 min)<\/strong><\/p><ul><li>Global incidence (~8\u201310\/million\/year)<\/li><li>Peak incidence at 3\u20135 years old, rare after age 10<\/li><li>Higher prevalence in females and African-American children<\/li><\/ul><p><strong>1.3 Clinical and Public Health Relevance (2 min)<\/strong><\/p><ul><li>5-year survival &gt;90% for localized disease<\/li><li>Mortality in relapsed or anaplastic forms<\/li><li>Goals: long-term survival <strong>and<\/strong> reduced treatment toxicity<\/li><\/ul><p><strong>1.4 Course Objectives and Structure (2 min)<\/strong><\/p><ul><li>Understand biology, risk stratification, classic and innovative treatments<\/li><li>Explore the stakes of personalized medicine<\/li><li>Investigate future therapeutic prospects based on molecular profiles<\/li><\/ul><p><strong>1.5 Overview of Core Concepts (2 min)<\/strong><\/p><ul><li>WT1, histology, liquid biopsy, radiomics, immunotherapy, late effects<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1062\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1062\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 2 \u2014 MOLECULAR AND HISTOLOGICAL FOUNDATIONS (20 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1062\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1062\"><p><strong>2.1 Histologic Subtypes (5 min)<\/strong><\/p><ul><li>Favorable histology (90%): triphasic (blastema, stroma, epithelium)<\/li><li>Anaplasia (5\u201310%): poor response, higher relapse rate<\/li><li>Rhabdoid tumor, Clear Cell Sarcoma of the Kidney (CCSK): distinct high-risk entities<\/li><\/ul><p><strong>2.2 WT1 Gene and Key Mutations (10 min)<\/strong><\/p><ul><li>WT1: transcription factor; mutations in WAGR, Denys-Drash syndromes<\/li><li>CTNNB1: \u03b2-catenin, Wnt activation<\/li><li>SIX1, MYCN, WTX: relapse-associated mutations<\/li><li>TRIM28, DIS3, TERT: emerging mutations in refractory cases<\/li><\/ul><p><strong>2.3 Epigenetics and Transcriptional Profiles (5 min)<\/strong><\/p><ul><li>11p15 methylation (IGF2) and loss of imprinting<\/li><li>lncRNAs (MIAT, WT1-AS), miRNAs (miR-144-3p, miR-1180-5p)<\/li><li>Intratumoral heterogeneity (multi-sampling, microarrays)<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1063\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1063\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 3 \u2014 DIAGNOSIS AND STAGING (15 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1063\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1063\"><p><strong>3.1 Clinical Presentation (3 min)<\/strong><\/p><ul><li>Palpable abdominal mass, hematuria, hypertension<\/li><li>Differential diagnosis: benign renal tumors, neuroblastoma<\/li><\/ul><p><strong>3.2 Imaging Modalities (5 min)<\/strong><\/p><ul><li>Ultrasound: first-line modality<\/li><li>CT and MRI: for local spread, venous involvement, metastases<\/li><li>Diffusion-weighted MRI, 3D semi-automated segmentation (e.g., 3D Slicer)<\/li><\/ul><p><strong>3.3 Molecular Diagnostics and Liquid Biopsy (5 min)<\/strong><\/p><ul><li>ddPCR, cfDNA in plasma\/urine<\/li><li>PIK3CA, WT1 mutations, transcriptomic profiling<\/li><li>Emerging non-invasive diagnostic tools<\/li><\/ul><p><strong>3.4 Staging Systems (2 min)<\/strong><\/p><ul><li>SIOP (Europe): pre-op chemo, then surgery<\/li><li>COG (USA): upfront surgery<\/li><li>Molecular staging as future evolution<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1064\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1064\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 4 \u2014 RISK STRATIFICATION AND PROGNOSTIC TOOLS (15 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1064\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1064\"><p><strong>4.1 Traditional Prognostic Factors (5 min)<\/strong><\/p><ul><li>Post-chemo tumor volume &gt;500 mL<\/li><li>Histologic chemo response, lymph node density<\/li><li>Bilateral or syndromic disease status<\/li><\/ul><p><strong>4.2 Molecular Markers and Nomograms (5 min)<\/strong><\/p><ul><li>LOH 1p\/16q, 11p15 methylation, TRIM28, WT1<\/li><li>miRNA signatures, urinary PHB, SEER\/TARGET-based nomograms<\/li><\/ul><p><strong>4.3 AI and Machine Learning (5 min)<\/strong><\/p><ul><li>Integrating clinical, radiomic, genetic data<\/li><li>Predictive models for OS, CSS, recurrence<\/li><li>Example: MRI + WT1 mutation-based prognosis tools<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1065\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1065\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 5 \u2014 TREATMENT STRATEGIES (20 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1065\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1065\"><p><strong>5.1 Standard Treatment Approaches (5 min)<\/strong><\/p><ul><li>Chemotherapy (vincristine, actinomycin D, doxorubicin)<\/li><li>Surgery: total nephrectomy vs. nephron-sparing surgery (NSS)<\/li><li>Radiotherapy for stage III\/IV<\/li><\/ul><p><strong>5.2 Nephron-Sparing Surgery (3 min)<\/strong><\/p><ul><li>Indications: bilateral disease, solitary kidney<\/li><li>Supported by 3D imaging for planning<\/li><\/ul><p><strong>5.3 Management of Relapse and Refractory Disease (4 min)<\/strong><\/p><ul><li>Intensified chemotherapy, targeted radiotherapy<\/li><li>Autologous HCT in refractory cases<\/li><li>Ongoing trials: e.g., lurbinectedin<\/li><\/ul><p><strong>5.4 Emerging Therapeutic Strategies (8 min)<\/strong><\/p><ul><li>Anti-GD2 immunotherapy<\/li><li>HIF-2\u03b1 inhibitors, Wnt\/\u03b2-catenin inhibitors<\/li><li>IGF2 and WT1-targeted therapies<\/li><li>Personalized treatment based on molecular profiling<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-fc1345b\" data-id=\"fc1345b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-22ef837 elementor-widget elementor-widget-toggle\" data-id=\"22ef837\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3661\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-3661\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 6 \u2014 WT1 AS A THERAPEUTIC TARGET (15 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3661\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-3661\"><p><strong>6.1 Structure and Role of WT1 (3 min)<\/strong><\/p><ul><li>Exon composition, isoforms (+\/-KTS), zinc finger domains<\/li><li>Role in embryogenesis and tumorigenesis<\/li><\/ul><p><strong>6.2 WT1 Expression in Cancer (3 min)<\/strong><\/p><ul><li>Present in leukemias, solid tumors (breast, liver, ovary, lung)<\/li><li>High expression = poor prognosis<\/li><\/ul><p><strong>6.3 Targeting WT1 \u2014 Drug Classes (9 min)<\/strong><\/p><ul><li>Peptide vaccines against WT1<\/li><li>Small molecules: TMPyP4, degrasyn, 17-AAG<\/li><li>Natural compounds: bufalin, shikonin, curcumin<\/li><li>Epigenetic modulators: hypomethylating agents<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3662\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-3662\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 7 \u2014 LATE EFFECTS AND LONG-TERM FOLLOW-UP (10 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3662\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-3662\"><p><strong>7.1 Long-Term Sequelae (5 min)<\/strong><\/p><ul><li>Cardiotoxicity (anthracyclines), nephropathy, infertility<\/li><li>Second cancers: sarcomas, leukemias<\/li><\/ul><p><strong>7.2 Survivorship Protocols (3 min)<\/strong><\/p><ul><li>Imaging and lab surveillance<\/li><li>COG\/NWTS guidelines: cardiac, renal, endocrine follow-up<\/li><\/ul><p><strong>7.3 Transition to Adult Care (2 min)<\/strong><\/p><ul><li>Patient education and pediatric\u2013adult care coordination<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3663\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-3663\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 8 \u2014 PERSONALIZED MEDICINE IN WT (10 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3663\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-3663\"><p><strong>8.1 Integrating Genomics in Therapy (3 min)<\/strong><\/p><ul><li>NGS panels, exome sequencing<\/li><li>Identifying low-risk tumors for de-escalation<\/li><\/ul><p><strong>8.2 Radiogenomics and Artificial Intelligence (4 min)<\/strong><\/p><ul><li>Fusion of imaging (MRI, 3D segmentation) + transcriptomic profiles<\/li><li>Real-time prediction of treatment response<\/li><\/ul><p><strong>8.3 Challenges and Perspectives (3 min)<\/strong><\/p><ul><li>Global disparities, biomarker validation<\/li><li>Integration of multi-omics into standard care<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3664\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-3664\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">CHAPTER 9 \u2014 WRAP-UP AND DISCUSSION (15 min)<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-3664\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-3664\"><p><strong>9.1 Key Learning Takeaways (5 min)<\/strong><\/p><ul><li>Interactive recap via quiz or synthesis board<\/li><\/ul><p><strong>9.2 Clinical Case and Practical Application (5 min)<\/strong><\/p><ul><li>Case vignette: 3-year-old with abdominal mass \u2192 work-up + mutation + tailored therapy discussion<\/li><\/ul><p><strong>9.3 Final Q&amp;A (5 min)<\/strong><\/p><ul><li>Open forum for questions and clarification<\/li><li>Immediate knowledge self-assessment<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-e4cbb13 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"e4cbb13\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-389a817\" data-id=\"389a817\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d527d2 elementor-widget elementor-widget-text-editor\" data-id=\"4d527d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Q &amp; A<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3731248 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3731248\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-aabf3de elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"aabf3de\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d796259\" data-id=\"d796259\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a413ddb elementor-widget elementor-widget-toggle\" data-id=\"a413ddb\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1721\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1721\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">1. What are the main clinical signs that suggest Wilms Tumor?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1721\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1721\"><p>The primary clinical sign is a painless abdominal mass, often noticed by a parent during bathing or dressing. Other symptoms may include hematuria, hypertension, abdominal pain, fever, and, rarely, respiratory symptoms if lung metastases are present.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1722\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1722\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">2. What role does the WT1 gene play in Wilms Tumor?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1722\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1722\"><p>The WT1 gene functions as a tumor suppressor crucial for kidney development. Mutations or dysregulation of WT1 can lead to uncontrolled proliferation of nephrogenic cells, contributing to Wilms Tumor pathogenesis, particularly in syndromic cases like WAGR and Denys-Drash syndromes.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1723\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1723\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">3. How does the COG approach differ from the SIOP approach in Wilms Tumor management?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1723\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1723\"><p>COG recommends upfront nephrectomy followed by chemotherapy based on histology and stage. SIOP advocates for preoperative chemotherapy first to shrink the tumor, minimize surgical complications, and then perform nephrectomy. Risk stratification and staging occur differently in both protocols.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1724\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1724\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">4. What is the significance of loss of heterozygosity (LOH) at 1p and 16q?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1724\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1724\"><p>LOH at 1p and 16q is associated with a higher risk of recurrence and poorer outcomes. Patients with this genetic alteration typically receive intensified chemotherapy regimens to counteract the increased relapse risk.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1725\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1725\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">5. What is the prognostic implication of chromosome 1q gain in Wilms Tumor?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1725\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1725\"><p>Chromosome 1q gain is linked to inferior event-free and overall survival. It is a strong adverse prognostic marker and is being incorporated into future clinical trials for stratifying treatment intensity.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1726\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1726\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">6. Which histological subtype of Wilms Tumor is associated with the worst prognosis?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1726\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1726\"><p>Diffuse anaplastic histology is associated with a poor prognosis due to resistance to chemotherapy and higher relapse rates. It requires more aggressive treatment protocols compared to favorable histology Wilms Tumor.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1727\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1727\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">7. What imaging modalities are preferred for initial diagnosis and surgical planning?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1727\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1727\"><p>Ultrasound is the first-line imaging modality for initial diagnosis. MRI, particularly with diffusion-weighted sequences and 3D volumetric segmentation, is preferred for detailed surgical planning and assessing venous involvement.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1728\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-1728\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">8. How are liquid biopsies used in Wilms Tumor?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1728\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-1728\"><p>Liquid biopsies, using cfDNA or ddPCR techniques, detect tumor-specific mutations non-invasively. They offer potential for early diagnosis, real-time treatment monitoring, and relapse prediction without requiring invasive tissue samples.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-267938a\" data-id=\"267938a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b47f086 elementor-widget elementor-widget-toggle\" data-id=\"b47f086\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1891\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1891\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">9. What are the main late effects of Wilms Tumor treatments?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1891\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1891\"><p>Late effects include cardiotoxicity from anthracyclines, renal dysfunction, infertility, growth disturbances, and secondary malignancies, especially after radiation therapy. Lifelong surveillance is recommended for survivors<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1892\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1892\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">10. Why is nephron-sparing surgery (NSS) important, and when is it considered?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1892\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1892\"><p>NSS aims to preserve kidney function and is considered in bilateral Wilms Tumors, solitary kidneys, or when preoperative chemotherapy sufficiently shrinks the tumor. It requires careful preoperative imaging and surgical expertise<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1893\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1893\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">11. What emerging therapies are under investigation for high-risk or relapsed Wilms Tumor?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1893\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1893\"><p>Emerging therapies include anti-GD2 immunotherapy, HIF-2\u03b1 inhibitors, Wnt\/\u03b2-catenin pathway blockers, and WT1-targeted vaccines and small molecules. These are under investigation to improve outcomes in difficult-to-treat cases.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1894\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1894\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">12. How does the presence of anaplastic features alter treatment strategy?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1894\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1894\"><p>Anaplastic Wilms Tumor requires more aggressive multimodal treatment, including intensified chemotherapy regimens, higher doses of radiotherapy, and sometimes novel agents, given its resistance to standard therapy.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1895\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1895\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">13. What is the role of volumetric tumor assessment in Wilms Tumor management?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1895\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1895\"><p>Volumetric assessment via MRI allows precise measurement of tumor shrinkage after chemotherapy, helps surgical planning, predicts histologic response, and is increasingly used in risk-adapted therapy strategies<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1896\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1896\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">14. What are the current goals of personalized medicine in Wilms Tumor?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1896\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1896\"><p>Personalized medicine aims to stratify patients more accurately based on genetic, molecular, and imaging biomarkers, thereby tailoring therapy intensity to maximize survival while minimizing toxicities and long-term side effects.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1897\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1897\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">15. Which urinary biomarker is being studied for Wilms Tumor monitoring?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1897\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1897\"><p>Prohibitin (PHB) levels in urine have shown potential as a non-invasive biomarker for early detection of recurrence and prognosis prediction in Wilms Tumor patients. Further validation is ongoing in clinical trials.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-41bf3c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"41bf3c3\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-36fe75a\" data-id=\"36fe75a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a1c7d5a elementor-widget elementor-widget-text-editor\" data-id=\"a1c7d5a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Fictitious Clinical Cases<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-68259df elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"68259df\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-bb8b762 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"bb8b762\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-69937ea\" data-id=\"69937ea\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-78eeb55 elementor-widget elementor-widget-toggle\" data-id=\"78eeb55\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1261\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1261\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A 3-year-old girl presents with a painless abdominal mass. Ultrasound confirms a renal tumor. CT shows no metastasis. Biopsy is avoided. What is the next best step?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1261\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1261\"><p>\u2705 <strong>Answer:<\/strong> Immediate nephrectomy followed by histologic staging (COG protocol).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1262\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1262\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A 4-year-old boy diagnosed with stage III Wilms Tumor shows LOH at 1p and 16q. How should his chemotherapy regimen be adjusted?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1262\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1262\"><p>\u2705 <strong>Answer:<\/strong> Intensification with a 3-drug regimen (vincristine, dactinomycin, doxorubicin) plus possible radiotherapy.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1263\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1263\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A 2-year-old child with a unilateral renal mass undergoes nephrectomy. Histology reveals triphasic favorable histology with no lymph node involvement. What is the prognosis?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1263\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1263\"><p>\u2705 <strong>Answer:<\/strong> Excellent (&gt;90% 5-year survival).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1264\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1264\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A child presents with hematuria and hypertension. Imaging shows bilateral kidney involvement. What syndrome should be suspected?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1264\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1264\"><p>\u2705 <strong>Answer:<\/strong> WAGR syndrome (Wilms tumor, Aniridia, Genitourinary anomalies, mental Retardation).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1265\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1265\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A 5-year-old with stage IV Wilms Tumor shows complete resolution of lung nodules after 6 weeks of chemotherapy. Should whole lung irradiation be performed?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1265\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1265\"><p>\u2705 <strong>Answer:<\/strong> No; irradiation can be omitted if a complete response is achieved.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1266\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1266\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A child\u2019s Wilms Tumor biopsy reveals diffuse anaplasia. What treatment strategy should be prioritized?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1266\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1266\"><p>\u2705 <strong>Answer:<\/strong> Intensified chemotherapy, higher radiotherapy doses, and close monitoring.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1267\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1267\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">An MRI post-chemotherapy shows a tumor volume reduction from 800 mL to 300 mL. What does this indicate about prognosis?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1267\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1267\"><p>\u2705 <strong>Answer:<\/strong> Good histologic response; favorable prognostic indicator.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1268\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-1268\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A 3-year-old patient with bilateral tumors is being planned for surgery. What type of surgery is preferred?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1268\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-1268\"><p>\u2705 <strong>Answer:<\/strong> Bilateral nephron-sparing surgery if feasible.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-41bb42a\" data-id=\"41bb42a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f026459 elementor-widget elementor-widget-toggle\" data-id=\"f026459\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2511\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2511\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A 6-year-old child with favorable histology stage I Wilms Tumor and normal WT1 undergoes nephrectomy. What post-op treatment is required?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2511\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2511\"><p>\u2705 <strong>Answer:<\/strong> Adjuvant two-drug chemotherapy (vincristine and dactinomycin).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2512\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2512\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Urine cfDNA in a follow-up Wilms Tumor patient shows new PIK3CA mutations. What is the likely clinical implication?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2512\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2512\"><p>\u2705 <strong>Answer:<\/strong> Early relapse; additional imaging and management should be considered.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2513\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2513\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A Wilms Tumor sample shows gain of chromosome 1q. What is the clinical consequence?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2513\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2513\"><p>\u2705 <strong>Answer:<\/strong> Higher risk of relapse; therapy may need escalation.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2514\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2514\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A child treated for Wilms Tumor 10 years ago presents with dilated cardiomyopathy. What is the most likely cause?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2514\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2514\"><p>\u2705 <strong>Answer:<\/strong> Anthracycline-induced cardiotoxicity<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2515\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2515\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">In a resource-limited setting, a Wilms Tumor protocol needs to be chosen. Which strategy is more practical?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2515\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2515\"><p>\u2705 <strong>Answer:<\/strong> SIOP protocol (neoadjuvant chemotherapy to reduce tumor size before surgery).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2516\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2516\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A 5-year-old presents with renal tumor and hepatomegaly. Biopsy confirms rhabdoid tumor of the kidney. How does prognosis compare to Wilms Tumor?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2516\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2516\"><p>\u2705 <strong>Answer:<\/strong> Much worse; rhabdoid tumors have very poor prognosis.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2517\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2517\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">A Wilms Tumor patient develops secondary leukemia years after treatment. What most likely contributed?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2517\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2517\"><p>\u2705 <strong>Answer:<\/strong> Prior chemotherapy (etoposide or alkylating agents) and\/or radiotherapy.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-c33bc96 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"c33bc96\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c1a82e9\" data-id=\"c1a82e9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ccd1a3 elementor-widget elementor-widget-text-editor\" data-id=\"1ccd1a3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>MCQ<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a040ba elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"0a040ba\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-f33f49b elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"f33f49b\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4240ee7\" data-id=\"4240ee7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1243014 elementor-widget elementor-widget-toggle\" data-id=\"1243014\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1911\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1911\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">1 - 10<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1911\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1911\"><ol><li><strong> What is the peak age for Wilms Tumor diagnosis?<\/strong><br \/>A. 1 year<br \/>B. 2 years<br \/>C. 3\u20135 years \u2705<br \/>D. 7\u20139 years<br \/>E. 10\u201312 years<\/li><li><strong> Which gene is classically mutated in Wilms Tumor?<\/strong><br \/>A. MYCN<br \/>B. WT1 \u2705<br \/>C. P53<br \/>D. ALK<br \/>E. BRCA2<\/li><li><strong> What percentage of Wilms Tumors are unilateral?<\/strong><br \/>A. 100%<br \/>B. 5%<br \/>C. 85\u201390% \u2705<br \/>D. 50%<br \/>E. 30%<\/li><li><strong> What is the recommended initial imaging for a suspected Wilms Tumor?<\/strong><br \/>A. CT abdomen<br \/>B. MRI<br \/>C. Ultrasound \u2705<br \/>D. PET scan<br \/>E. X-ray<\/li><li><strong> In the SIOP protocol, which treatment step comes first?<\/strong><br \/>A. Surgery<br \/>B. Neoadjuvant chemotherapy \u2705<br \/>C. Radiotherapy<br \/>D. Targeted therapy<br \/>E. Bone marrow transplant<\/li><li><strong> Which histological subtype is associated with a worse prognosis?<\/strong><br \/>A. Triphasic<br \/>B. Blastemal<br \/>C. Stromal<br \/>D. Anaplastic \u2705<br \/>E. Epithelial<\/li><li><strong> Loss of heterozygosity (LOH) at which chromosomes is associated with worse outcomes?<\/strong><br \/>A. 3p and 5q<br \/>B. 1p and 16q \u2705<br \/>C. 9q and 17p<br \/>D. 11p and 21q<br \/>E. 7p and 8q<\/li><li><strong> What is the survival rate for localized favorable-histology Wilms Tumor?<\/strong><br \/>A. 20%<br \/>B. 40%<br \/>C. 60%<br \/>D. 90\u201395% \u2705<br \/>E. 100%<\/li><li><strong> WT1 is located on which chromosome?<\/strong><br \/>A. 17p<br \/>B. 11p13 \u2705<br \/>C. 1q<br \/>D. 6p<br \/>E. Xq21<\/li><li><strong> Which factor suggests a need for more aggressive therapy?<\/strong><br \/>A. Completely necrotic histology<br \/>B. Low tumor volume<br \/>C. Anaplasia \u2705<br \/>D. Normal renal function<br \/>E. Favorable histology<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1912\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1912\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">11 - 20<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-1912\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1912\"><ol start=\"11\"><li><strong> What late effect is commonly associated with Wilms Tumor treatment?<\/strong><br \/>A. Diabetes<br \/>B. Cardiotoxicity \u2705<br \/>C. Crohn\u2019s disease<br \/>D. Neuropathy<br \/>E. Skin cancers<\/li><li><strong> What is the main chemotherapeutic agent for low-risk Wilms Tumor?<\/strong><br \/>A. Methotrexate<br \/>B. Vincristine \u2705<br \/>C. Cisplatin<br \/>D. Temozolomide<br \/>E. Bevacizumab<\/li><li><strong> What technology improves detection of tumor heterogeneity in WT?<\/strong><br \/>A. PET-CT<br \/>B. Radiomics \u2705<br \/>C. EEG<br \/>D. Coronary angiography<br \/>E. Spirometry<\/li><li><strong> What does 3D segmentation help with?<\/strong><br \/>A. Weight estimation<br \/>B. Kidney perfusion analysis<br \/>C. Surgical planning \u2705<br \/>D. Heart function measurement<br \/>E. Lung volume estimation<\/li><li><strong> Which type of biopsy is emerging in Wilms Tumor diagnosis?<\/strong><br \/>A. Bone marrow biopsy<br \/>B. Stereotactic biopsy<br \/>C. Liquid biopsy \u2705<br \/>D. Open biopsy<br \/>E. Skin punch biopsy<\/li><li><strong> Which is a side effect of anthracyclines in WT treatment?<\/strong><br \/>A. Pulmonary fibrosis<br \/>B. Thyroid dysfunction<br \/>C. Cardiotoxicity \u2705<br \/>D. Cataract<br \/>E. Pancreatitis<\/li><li><strong> An increase in 1q copy number predicts:<\/strong><br \/>A. Better survival<br \/>B. Higher relapse risk \u2705<br \/>C. Less chemotherapy needed<br \/>D. CNS involvement<br \/>E. No impact<\/li><li><strong> A common clinical presentation of Wilms Tumor is:<\/strong><br \/>A. Cough<br \/>B. Seizure<br \/>C. Painless abdominal mass \u2705<br \/>D. Vision loss<br \/>E. Severe diarrhea<\/li><li><strong> Which biomarker is under evaluation for non-invasive WT monitoring?<\/strong><br \/>A. Prostate-specific antigen (PSA)<br \/>B. Carcinoembryonic antigen (CEA)<br \/>C. PHB in urine \u2705<br \/>D. Alpha-fetoprotein (AFP)<br \/>E. CA-125<\/li><li><strong> Which syndrome is associated with WT and aniridia?<\/strong><br \/>A. Li-Fraumeni syndrome<br \/>B. Beckwith-Wiedemann syndrome<br \/>C. WAGR syndrome \u2705<br \/>D. Fanconi anemia<br \/>E. Von Hippel-Lindau syndrome<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-33c150c\" data-id=\"33c150c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e0a7d18 elementor-widget elementor-widget-toggle\" data-id=\"e0a7d18\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2351\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2351\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">21 - 30<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2351\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2351\"><ol start=\"21\"><li><strong> What is the typical first line of treatment for stage I favorable-histology WT in the COG protocol?<\/strong><br \/>A. Radiotherapy<br \/>B. Surgery alone \u2705<br \/>C. Intensive chemotherapy<br \/>D. Immunotherapy<br \/>E. Observation<\/li><li><strong> Which histological response to preoperative chemo predicts better outcomes?<\/strong><br \/>A. High viable tumor burden<br \/>B. Complete necrosis \u2705<br \/>C. Extensive blastemal persistence<br \/>D. Severe inflammation<br \/>E. Giant cell presence<\/li><li><strong> Which imaging modality best assesses venous extension in WT?<\/strong><br \/>A. Chest X-ray<br \/>B. PET<br \/>C. MRI \u2705<br \/>D. Mammography<br \/>E. Ultrasound alone<\/li><li><strong> Which factor is used to refine WT staging?<\/strong><br \/>A. Blood pressure<br \/>B. Tumor necrosis rate \u2705<br \/>C. Family history<br \/>D. Eye color<br \/>E. Ethnicity<\/li><li><strong> What is the usual cause of hypertension in WT?<\/strong><br \/>A. Secondary adrenal tumor<br \/>B. Renin secretion from tumor \u2705<br \/>C. Catecholamine storm<br \/>D. Vasculitis<br \/>E. Renal artery stenosis<\/li><li><strong> A lung nodule complete response after chemo implies:<\/strong><br \/>A. Immediate surgery<br \/>B. Need for whole-lung irradiation<br \/>C. Omission of lung irradiation \u2705<br \/>D. Start of immunotherapy<br \/>E. Liver transplant<\/li><li><strong> Gain of chromosome 1q correlates with:<\/strong><br \/>A. Better chemo response<br \/>B. Poor prognosis \u2705<br \/>C. Reduced surgery need<br \/>D. Radiotherapy avoidance<br \/>E. CNS metastasis<\/li><li><strong> What is the first step in genetic profiling for personalized care in WT?<\/strong><br \/>A. Radiotherapy planning<br \/>B. Tumor resection<br \/>C. Biopsy sample analysis \u2705<br \/>D. Blood transfusion<br \/>E. Bone marrow harvest<\/li><li><strong> Targeted therapies in WT are aimed at:<\/strong><br \/>A. Blocking EGFR<br \/>B. Modulating IGF2 and \u03b2-catenin pathways \u2705<br \/>C. Enhancing TGF-beta<br \/>D. Activating PD-1<br \/>E. Depleting vitamin D<\/li><li><strong> Which is a rare but aggressive WT variant?<\/strong><br \/>A. Epithelial type<br \/>B. Clear Cell Sarcoma of the Kidney \u2705<br \/>C. Favorable histology<br \/>D. Stromal type<br \/>E. Teratoma<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2352\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2352\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">31 - 40<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2352\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2352\"><ol start=\"31\"><li><strong> What is the function of WT1 protein in normal development?<\/strong><br \/>A. Neural migration<br \/>B. Kidney differentiation \u2705<br \/>C. Liver metabolism<br \/>D. Retinal development<br \/>E. Lung surfactant production<\/li><li><strong> Which of these contributes to long-term morbidity in WT survivors?<\/strong><br \/>A. Early tumor detection<br \/>B. Minimally invasive surgery<br \/>C. Radiotherapy-induced fibrosis \u2705<br \/>D. Absence of follow-up<br \/>E. Nutritional counseling<\/li><li><strong> Which subgroup benefits from nephron-sparing surgery (NSS)?<\/strong><br \/>A. Unilateral small tumors<br \/>B. Bilateral tumors \u2705<br \/>C. Stage IV disease<br \/>D. CNS metastasis<br \/>E. Adults with WT<\/li><li><strong> Which liquid biopsy tool detects somatic mutations?<\/strong><br \/>A. Flow cytometry<br \/>B. ddPCR \u2705<br \/>C. Gram stain<br \/>D. ESR<br \/>E. CRP<\/li><li><strong> A poor histologic response after pre-op chemotherapy suggests:<\/strong><br \/>A. Cure<br \/>B. Lower relapse risk<br \/>C. Higher relapse risk \u2705<br \/>D. Good renal prognosis<br \/>E. No follow-up needed<\/li><li><strong> Which therapy is emerging for relapsed WT?<\/strong><br \/>A. Anti-GD2 immunotherapy \u2705<br \/>B. Anti-PD1<br \/>C. VEGF inhibitors<br \/>D. Bone marrow transplant<br \/>E. Proton beam therapy<\/li><li><strong> What is the primary cause of second malignancies in WT survivors?<\/strong><br \/>A. Infections<br \/>B. Radiotherapy and anthracyclines \u2705<br \/>C. Malnutrition<br \/>D. Autoimmunity<br \/>E. Genetic instability alone<\/li><li><strong> How is the prognosis affected by bilateral Wilms Tumor?<\/strong><br \/>A. Improved overall survival<br \/>B. No impact<br \/>C. Worse prognosis \u2705<br \/>D. Protection against relapse<br \/>E. Easier to treat<\/li><li><strong> Which factor is NOT currently a standard prognostic marker?<\/strong><br \/>A. LOH 1p\/16q<br \/>B. Anaplasia<br \/>C. Tumor volume<br \/>D. Blood type \u2705<br \/>E. WT1 mutations<\/li><li><strong> What is the future goal for Wilms Tumor management?<\/strong><br \/>A. Increase radiation dose<br \/>B. Universal transplant<br \/>C. Personalize treatment based on genomics \u2705<br \/>D. Eliminate surgery<br \/>E. Give prophylactic chemotherapy to all<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-d1628e8 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"d1628e8\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2fecd1e\" data-id=\"2fecd1e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f2d5841 elementor-widget elementor-widget-text-editor\" data-id=\"f2d5841\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>QUIZ<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e9c60a elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"8e9c60a\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-fcf2c4a elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"fcf2c4a\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f192b92\" data-id=\"f192b92\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a02502 elementor-widget elementor-widget-image\" data-id=\"1a02502\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"870\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/05\/Illustration-Quiz-1024x870.jpg\" class=\"attachment-large size-large wp-image-5746\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/05\/Illustration-Quiz-1024x870.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/05\/Illustration-Quiz-300x255.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/05\/Illustration-Quiz-768x652.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/05\/Illustration-Quiz.jpg 1117w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5837136\" data-id=\"5837136\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cef361d elementor-widget elementor-widget-text-editor\" data-id=\"cef361d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">\n            <div class='ays-quiz-container ays_quiz_classic_light   ays-quiz-keyboard-active' data-quest-effect='none'  data-hide-bg-image='false' id='ays-quiz-container-10'>\n                \n                \n                <div class='ays-questions-container'>\n                    \n                    \n                    \n                    <form action='' method='post' id='ays_finish_quiz_10' \n                        class='ays-quiz-form  enable_questions_result '\n                    >\n            <input type='hidden' value='list' class='answer_view_class'>\n            <input type='hidden' value='' class='ays_qm_enable_arrows'><section  class='ays_quiz_timer_container'>\n                <div class='ays-quiz-timer ays-quiz-message-before-timer' data-timer='450'><p><strong data-start=\"34\" data-end=\"89\">This quiz consists of 15 multiple-choice questions.<\/strong><br data-start=\"89\" data-end=\"92\" \/><strong data-start=\"92\" data-end=\"147\">Each question may have one or more correct answers.<\/strong><br data-start=\"147\" data-end=\"150\" \/><strong data-start=\"150\" data-end=\"205\">A minimum score of 75% correct answers is required.<\/strong><br data-start=\"205\" data-end=\"208\" \/><strong data-start=\"208\" data-end=\"252\" data-is-last-node=\"\">You have 7 minutes to complete the quiz.<\/strong><\/p>\n<\/div>\n                <div class='ays-quiz-after-timer '><p>Le temps imparti est \u00e9coul\u00e9<\/p>\n<\/div>\n                <hr style='height:1px;'>\n            <\/section>\n            \n            \n            <div class='step active-step'>\n                <div class='ays-abs-fs ays-start-page'>\n                    \n                    \n                    <p class='ays-fs-title'>WILMS TUMOR<\/p>\n                    <div class='ays-fs-subtitle'><\/div>\n                    <input type='hidden' name='ays_quiz_id' value='10'\/>\n                    <input type='hidden' name='ays_quiz_finish_nonce' value='8c1a676f32'>\n                    <input type='hidden' name='ays_quiz_curent_page_link' class='ays-quiz-curent-page-link' value='http:\/\/echonews.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5517'\/>\n                    <input type='hidden' name='ays_quiz_questions' value='320,306,301,295,288,322,286,282,296,314,284,302,304,312,317'>\n                    \n                    \n                    <input type='button'   class='ays_next start_button action-button ays-quiz-keyboard-active' value='D\u00e9marrer' data-enable-leave-page=\"false\" \/>\n                    \n                    <\/div>\n                <\/div><div class='step ' data-question-id='320' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>1 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>How is the prognosis affected by bilateral Wilms Tumor?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-320]' id='ays-answer-1538-10' value='1538'\/>\n\n                <label for='ays-answer-1538-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Protection against relapse<\/label><label for='ays-answer-1538-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-320]' id='ays-answer-1536-10' value='1536'\/>\n\n                <label for='ays-answer-1536-10' class='  ays_position_initial  ays-quiz-keyboard-label'>No impact<\/label><label for='ays-answer-1536-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-320]' id='ays-answer-1537-10' value='1537'\/>\n\n                <label for='ays-answer-1537-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Worse prognosis<\/label><label for='ays-answer-1537-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-320]' id='ays-answer-1539-10' value='1539'\/>\n\n                <label for='ays-answer-1539-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Easier to treat<\/label><label for='ays-answer-1539-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-320]' id='ays-answer-1535-10' value='1535'\/>\n\n                <label for='ays-answer-1535-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Improved overall survival<\/label><label for='ays-answer-1535-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['320'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='306' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>2 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>Which factor is used to refine WT staging?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-306]' id='ays-answer-1469-10' value='1469'\/>\n\n                <label for='ays-answer-1469-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Eye color<\/label><label for='ays-answer-1469-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-306]' id='ays-answer-1467-10' value='1467'\/>\n\n                <label for='ays-answer-1467-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Tumor necrosis rate<\/label><label for='ays-answer-1467-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-306]' id='ays-answer-1466-10' value='1466'\/>\n\n                <label for='ays-answer-1466-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Blood pressure<\/label><label for='ays-answer-1466-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-306]' id='ays-answer-1468-10' value='1468'\/>\n\n                <label for='ays-answer-1468-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Family history<\/label><label for='ays-answer-1468-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-306]' id='ays-answer-1470-10' value='1470'\/>\n\n                <label for='ays-answer-1470-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Ethnicity<\/label><label for='ays-answer-1470-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['306'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='301' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>3 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong><span style=\"vertical-align: inherit\"><span style=\"vertical-align: inherit\">Quel biomarqueur est en cours d\u2019\u00e9valuation pour la surveillance non invasive du WT ?<\/span><\/span><\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-301]' id='ays-answer-1444-10' value='1444'\/>\n\n                <label for='ays-answer-1444-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Alpha-fetoprotein (AFP)<\/label><label for='ays-answer-1444-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-301]' id='ays-answer-1443-10' value='1443'\/>\n\n                <label for='ays-answer-1443-10' class='  ays_position_initial  ays-quiz-keyboard-label'>PHB in urine<\/label><label for='ays-answer-1443-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-301]' id='ays-answer-1445-10' value='1445'\/>\n\n                <label for='ays-answer-1445-10' class='  ays_position_initial  ays-quiz-keyboard-label'>CA-125<\/label><label for='ays-answer-1445-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-301]' id='ays-answer-1442-10' value='1442'\/>\n\n                <label for='ays-answer-1442-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Carcinoembryonic antigen (CEA)<\/label><label for='ays-answer-1442-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['301'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='295' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>4 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>What technology improves detection of tumor heterogeneity in WT?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-295]' id='ays-answer-1412-10' value='1412'\/>\n\n                <label for='ays-answer-1412-10' class='  ays_position_initial  ays-quiz-keyboard-label'>PET-CT<\/label><label for='ays-answer-1412-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-295]' id='ays-answer-1415-10' value='1415'\/>\n\n                <label for='ays-answer-1415-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Coronary angiography<\/label><label for='ays-answer-1415-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-295]' id='ays-answer-1414-10' value='1414'\/>\n\n                <label for='ays-answer-1414-10' class='  ays_position_initial  ays-quiz-keyboard-label'>EEG<\/label><label for='ays-answer-1414-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-295]' id='ays-answer-1416-10' value='1416'\/>\n\n                <label for='ays-answer-1416-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Spirometry<\/label><label for='ays-answer-1416-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-295]' id='ays-answer-1413-10' value='1413'\/>\n\n                <label for='ays-answer-1413-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Radiomics<\/label><label for='ays-answer-1413-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['295'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='288' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>5 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>Loss of heterozygosity (LOH) at which chromosomes is associated with worse outcomes?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-288]' id='ays-answer-1379-10' value='1379'\/>\n\n                <label for='ays-answer-1379-10' class='  ays_position_initial  ays-quiz-keyboard-label'>9q and 17p<\/label><label for='ays-answer-1379-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-288]' id='ays-answer-1377-10' value='1377'\/>\n\n                <label for='ays-answer-1377-10' class='  ays_position_initial  ays-quiz-keyboard-label'>3p and 5q<\/label><label for='ays-answer-1377-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-288]' id='ays-answer-1378-10' value='1378'\/>\n\n                <label for='ays-answer-1378-10' class='  ays_position_initial  ays-quiz-keyboard-label'>1p and 16q<\/label><label for='ays-answer-1378-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-288]' id='ays-answer-1380-10' value='1380'\/>\n\n                <label for='ays-answer-1380-10' class='  ays_position_initial  ays-quiz-keyboard-label'>11p and 21q<\/label><label for='ays-answer-1380-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-288]' id='ays-answer-1381-10' value='1381'\/>\n\n                <label for='ays-answer-1381-10' class='  ays_position_initial  ays-quiz-keyboard-label'>7p and 8q<\/label><label for='ays-answer-1381-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['288'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='322' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>6 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>What is the future goal for Wilms Tumor management?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-322]' id='ays-answer-1545-10' value='1545'\/>\n\n                <label for='ays-answer-1545-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Increase radiation dose<\/label><label for='ays-answer-1545-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-322]' id='ays-answer-1546-10' value='1546'\/>\n\n                <label for='ays-answer-1546-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Universal transplant<\/label><label for='ays-answer-1546-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-322]' id='ays-answer-1548-10' value='1548'\/>\n\n                <label for='ays-answer-1548-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Eliminate surgery<\/label><label for='ays-answer-1548-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-322]' id='ays-answer-1547-10' value='1547'\/>\n\n                <label for='ays-answer-1547-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Personalize treatment based on genomics<\/label><label for='ays-answer-1547-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-322]' id='ays-answer-1549-10' value='1549'\/>\n\n                <label for='ays-answer-1549-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Give prophylactic chemotherapy to all<\/label><label for='ays-answer-1549-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['322'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='286' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>7 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>In the SIOP protocol, which treatment step comes first?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-286]' id='ays-answer-1368-10' value='1368'\/>\n\n                <label for='ays-answer-1368-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Neoadjuvant chemotherapy<\/label><label for='ays-answer-1368-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-286]' id='ays-answer-1371-10' value='1371'\/>\n\n                <label for='ays-answer-1371-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Bone marrow transplant<\/label><label for='ays-answer-1371-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-286]' id='ays-answer-1369-10' value='1369'\/>\n\n                <label for='ays-answer-1369-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Radiotherapy<\/label><label for='ays-answer-1369-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-286]' id='ays-answer-1367-10' value='1367'\/>\n\n                <label for='ays-answer-1367-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Surgery<\/label><label for='ays-answer-1367-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-286]' id='ays-answer-1370-10' value='1370'\/>\n\n                <label for='ays-answer-1370-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Targeted therapy<\/label><label for='ays-answer-1370-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['286'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='282' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>8 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>What is the peak age for Wilms Tumor diagnosis?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-282]' id='ays-answer-1351-10' value='1351'\/>\n\n                <label for='ays-answer-1351-10' class='  ays_position_initial  ays-quiz-keyboard-label'>10\u201312 years<\/label><label for='ays-answer-1351-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-282]' id='ays-answer-1347-10' value='1347'\/>\n\n                <label for='ays-answer-1347-10' class='  ays_position_initial  ays-quiz-keyboard-label'>1 year<\/label><label for='ays-answer-1347-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-282]' id='ays-answer-1348-10' value='1348'\/>\n\n                <label for='ays-answer-1348-10' class='  ays_position_initial  ays-quiz-keyboard-label'>2 years<\/label><label for='ays-answer-1348-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-282]' id='ays-answer-1350-10' value='1350'\/>\n\n                <label for='ays-answer-1350-10' class='  ays_position_initial  ays-quiz-keyboard-label'>7\u20139 years<\/label><label for='ays-answer-1350-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-282]' id='ays-answer-1349-10' value='1349'\/>\n\n                <label for='ays-answer-1349-10' class='  ays_position_initial  ays-quiz-keyboard-label'>3\u20135 years<\/label><label for='ays-answer-1349-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['282'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='296' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>9 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>What does 3D segmentation help with?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-296]' id='ays-answer-1420-10' value='1420'\/>\n\n                <label for='ays-answer-1420-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Heart function measurement<\/label><label for='ays-answer-1420-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-296]' id='ays-answer-1419-10' value='1419'\/>\n\n                <label for='ays-answer-1419-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Surgical planning<\/label><label for='ays-answer-1419-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-296]' id='ays-answer-1421-10' value='1421'\/>\n\n                <label for='ays-answer-1421-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Lung volume estimation<\/label><label for='ays-answer-1421-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-296]' id='ays-answer-1417-10' value='1417'\/>\n\n                <label for='ays-answer-1417-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Weight estimation<\/label><label for='ays-answer-1417-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-296]' id='ays-answer-1418-10' value='1418'\/>\n\n                <label for='ays-answer-1418-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Kidney perfusion analysis<\/label><label for='ays-answer-1418-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['296'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='314' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>10 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>Which of these contributes to long-term morbidity in WT survivors?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-314]' id='ays-answer-1508-10' value='1508'\/>\n\n                <label for='ays-answer-1508-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Absence of follow-up<\/label><label for='ays-answer-1508-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-314]' id='ays-answer-1505-10' value='1505'\/>\n\n                <label for='ays-answer-1505-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Early tumor detection<\/label><label for='ays-answer-1505-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-314]' id='ays-answer-1507-10' value='1507'\/>\n\n                <label for='ays-answer-1507-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Radiotherapy-induced fibrosis<\/label><label for='ays-answer-1507-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-314]' id='ays-answer-1509-10' value='1509'\/>\n\n                <label for='ays-answer-1509-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Nutritional counseling<\/label><label for='ays-answer-1509-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-314]' id='ays-answer-1506-10' value='1506'\/>\n\n                <label for='ays-answer-1506-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Minimally invasive surgery<\/label><label for='ays-answer-1506-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['314'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='284' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>11 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>What percentage of Wilms Tumors are unilateral?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-284]' id='ays-answer-1358-10' value='1358'\/>\n\n                <label for='ays-answer-1358-10' class='  ays_position_initial  ays-quiz-keyboard-label'>5%<\/label><label for='ays-answer-1358-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-284]' id='ays-answer-1361-10' value='1361'\/>\n\n                <label for='ays-answer-1361-10' class='  ays_position_initial  ays-quiz-keyboard-label'>30%<\/label><label for='ays-answer-1361-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-284]' id='ays-answer-1359-10' value='1359'\/>\n\n                <label for='ays-answer-1359-10' class='  ays_position_initial  ays-quiz-keyboard-label'>85\u201390%<\/label><label for='ays-answer-1359-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-284]' id='ays-answer-1360-10' value='1360'\/>\n\n                <label for='ays-answer-1360-10' class='  ays_position_initial  ays-quiz-keyboard-label'>50%<\/label><label for='ays-answer-1360-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-284]' id='ays-answer-1357-10' value='1357'\/>\n\n                <label for='ays-answer-1357-10' class='  ays_position_initial  ays-quiz-keyboard-label'>100%<\/label><label for='ays-answer-1357-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['284'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='302' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>12 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>Which syndrome is associated with WT and aniridia?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-302]' id='ays-answer-1450-10' value='1450'\/>\n\n                <label for='ays-answer-1450-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Von Hippel-Lindau syndrome<\/label><label for='ays-answer-1450-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-302]' id='ays-answer-1446-10' value='1446'\/>\n\n                <label for='ays-answer-1446-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Li-Fraumeni syndrome<\/label><label for='ays-answer-1446-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-302]' id='ays-answer-1448-10' value='1448'\/>\n\n                <label for='ays-answer-1448-10' class='  ays_position_initial  ays-quiz-keyboard-label'>WAGR syndrome<\/label><label for='ays-answer-1448-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-302]' id='ays-answer-1447-10' value='1447'\/>\n\n                <label for='ays-answer-1447-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Beckwith-Wiedemann syndrome<\/label><label for='ays-answer-1447-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-302]' id='ays-answer-1449-10' value='1449'\/>\n\n                <label for='ays-answer-1449-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Fanconi anemia<\/label><label for='ays-answer-1449-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['302'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='304' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>13 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>Which histological response to preoperative chemo predicts better outcomes?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-304]' id='ays-answer-1457-10' value='1457'\/>\n\n                <label for='ays-answer-1457-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Complete necrosis<\/label><label for='ays-answer-1457-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-304]' id='ays-answer-1460-10' value='1460'\/>\n\n                <label for='ays-answer-1460-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Giant cell presence<\/label><label for='ays-answer-1460-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-304]' id='ays-answer-1459-10' value='1459'\/>\n\n                <label for='ays-answer-1459-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Severe inflammation<\/label><label for='ays-answer-1459-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-304]' id='ays-answer-1458-10' value='1458'\/>\n\n                <label for='ays-answer-1458-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Extensive blastemal persistence<\/label><label for='ays-answer-1458-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-304]' id='ays-answer-1456-10' value='1456'\/>\n\n                <label for='ays-answer-1456-10' class='  ays_position_initial  ays-quiz-keyboard-label'>High viable tumor burden<\/label><label for='ays-answer-1456-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['304'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='312' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>14 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>Which is a rare but aggressive WT variant?<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-312]' id='ays-answer-1499-10' value='1499'\/>\n\n                <label for='ays-answer-1499-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Teratoma<\/label><label for='ays-answer-1499-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-312]' id='ays-answer-1496-10' value='1496'\/>\n\n                <label for='ays-answer-1496-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Clear Cell Sarcoma of the Kidney<\/label><label for='ays-answer-1496-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-312]' id='ays-answer-1497-10' value='1497'\/>\n\n                <label for='ays-answer-1497-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Favorable histology<\/label><label for='ays-answer-1497-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-312]' id='ays-answer-1498-10' value='1498'\/>\n\n                <label for='ays-answer-1498-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Stromal type<\/label><label for='ays-answer-1498-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-312]' id='ays-answer-1495-10' value='1495'\/>\n\n                <label for='ays-answer-1495-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Epithelial type<\/label><label for='ays-answer-1495-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['312'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_previous action-button ays-quiz-keyboard-active ' value='Pr\u00e9c\u00e9dent' \/>\n                        \n                        <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                        <input type='button' class='ays_next action-button ays-quiz-keyboard-active ' value='Suivant' \/>\n                    <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ' data-question-id='317' data-type='checkbox'>\n                    \n                    \n                    <p class='ays-question-counter animated'>15 \/ 15<\/p>\n                    <div class='ays-abs-fs'>\n                        \n                        <div class='ays_quiz_question'>\n                                <p><strong>A poor histologic response after pre-op chemotherapy suggests:<\/strong><\/p>\n\n                            <\/div>\n                            \n                        <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-317]' id='ays-answer-1523-10' value='1523'\/>\n\n                <label for='ays-answer-1523-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Good renal prognosis<\/label><label for='ays-answer-1523-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-317]' id='ays-answer-1522-10' value='1522'\/>\n\n                <label for='ays-answer-1522-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Higher relapse risk<\/label><label for='ays-answer-1522-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-317]' id='ays-answer-1521-10' value='1521'\/>\n\n                <label for='ays-answer-1521-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Lower relapse risk<\/label><label for='ays-answer-1521-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-317]' id='ays-answer-1524-10' value='1524'\/>\n\n                <label for='ays-answer-1524-10' class='  ays_position_initial  ays-quiz-keyboard-label'>No follow-up needed<\/label><label for='ays-answer-1524-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ays-quiz-keyboard-active' tabindex='0' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='checkbox' name='ays_questions[ays-question-317]' id='ays-answer-1520-10' value='1520'\/>\n\n                <label for='ays-answer-1520-10' class='  ays_position_initial  ays-quiz-keyboard-label'>Cure<\/label><label for='ays-answer-1520-10' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><script>\n            if(typeof window.quizOptions_10 === 'undefined'){\n                window.quizOptions_10 = [];\n            }\n            window.quizOptions_10['317'] = 'W10=';<\/script><\/div>                        \n                        \n                        \n                        <div class='ays_buttons_div'>\n                            \n                            <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays-quiz-keyboard-active ays_display_none\" tabindex='0'><\/i>\n                            <input type='button' class='ays_previous action-button ays-quiz-keyboard-active '  value='Pr\u00e9c\u00e9dent' \/>\n                            <i class='ays_display_none ays_fa ays_fa_flag_checkered ays_finish action-button ays_arrow ays_next_arrow ays-quiz-keyboard-active' tabindex='0'><\/i><input type='submit' name='ays_finish_quiz' class='  ays_next ays_finish action-button ays-quiz-keyboard-active' value='Voir le r\u00e9sultat'\/>\n                        <\/div>\n                        \n                        <div class='wrong_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='right_answer_text ays_do_not_show' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays_questtion_explanation' style='display:none'>\n                            \n                        <\/div>\n                        <div class='ays-quiz-additonal-box'>\n                            \n                        <\/div>   \n                        \n                        \n                    <\/div>\n                <\/div><div class='step ays_thank_you_fs'>\n            <div class='ays-abs-fs ays-end-page'><div data-class='lds-ellipsis' data-role='loader' class='ays-loader'><div><\/div><div><\/div><div><\/div><div><\/div><\/div><div class='ays_quiz_results_page'><div class='ays_score_message'><\/div><div class='ays_message'><\/div><p class='ays_score ays_score_display_none animated'>Your score is<\/p><p class='ays_average'>The average score is 8%<\/p><div class='ays-progress third'>\n                <span class='ays-progress-value third'>0%<\/span>\n                <div class='ays-progress-bg third'>\n                    <div class='ays-progress-bar third' style='width:0%;'><\/div>\n                <\/div>\n            <\/div><p class='ays_restart_button_p'><button type='button' class='action-button ays_restart_button ays-quiz-keyboard-active'>\n                    <i class='ays_fa ays_fa_undo'><\/i>\n                    <span>Relancer le quiz<\/span>\n                <\/button><\/p><\/div>\n            <\/div>\n        <\/div><style>\n            div#ays-quiz-container-10 * {\n                box-sizing: border-box;\n            }\n\n            #ays-quiz-container-10 [id^='ays_finish_quiz_'] div.step div.ays-abs-fs {\n                width: 90%;\n            }\n\n            \/* Styles for Internet Explorer start *\/\n            #ays-quiz-container-10 #ays_finish_quiz_10 {\n                \n            }\n\n            \/* Styles for Quiz container *\/\n            #ays-quiz-container-10{\n                min-height: 250px;\n                width:800px;\n                background-color:#fff;\n                background-position:center center;border-radius:8px;box-shadow: none;border-width: 1px;border-style: solid;border-color: #000;}\n\n            \/* Styles for questions *\/\n            #ays-quiz-container-10 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!important;\n                font-size: inherit !important;\n                font-weight: inherit !important;\n                float: none !important;\n                line-height: inherit !important;\n                margin: 0 !important;\n                padding: 0 !important;\n            }\n            \n            \n            #ays-quiz-container-10 .select2-container,\n            #ays-quiz-container-10 .ays-field * {\n                font-size: 15px !important;\n            }\n    \n            #ays-quiz-container-10 .ays_quiz_question p {\n                font-size: 16px;\n                text-align: inherit;\n            }\n\n            #ays-quiz-container-10 .ays-fs-subtitle p {\n                text-align:  center ;\n            }\n\n            #ays-quiz-container-10 .ays_quiz_question {\n                text-align:  center ;\n                margin-bottom: 10px;\n            }\n\n            #ays-quiz-container-10 .ays_quiz_question pre {\n                max-width: 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            color: #000000;\n            }\n\n            \/* Loaders *\/            \n            #ays-quiz-container-10 div.lds-spinner,\n            #ays-quiz-container-10 div.lds-spinner2 {\n                color: #000000;\n            }\n            #ays-quiz-container-10 div.lds-spinner div:after,\n            #ays-quiz-container-10 div.lds-spinner2 div:after {\n                background-color: #000000;\n            }\n            #ays-quiz-container-10 .lds-circle,\n            #ays-quiz-container-10 .lds-facebook div,\n            #ays-quiz-container-10 .lds-ellipsis div{\n                background: #000000;\n            }\n            #ays-quiz-container-10 .lds-ripple div{\n                border-color: #000000;\n            }\n            #ays-quiz-container-10 .lds-dual-ring::after,\n            #ays-quiz-container-10 .lds-hourglass::after{\n                border-color: #000000 transparent #000000 transparent;\n            }\n\n            \/* Stars *\/\n            #ays-quiz-container-10 .ui.rating .icon,\n            #ays-quiz-container-10 .ui.rating .icon:before {\n                font-family: Rating !important;\n            }\n\n            \/* Progress bars *\/\n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-progress {\n                border-color: rgba(0,0,0,0.8);\n            }\n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-progress-bg {\n                background-color: rgba(0,0,0,0.3);\n            }    \n            #ays-quiz-container-10 .ays-progress-value {\n                color: #000000;\n                text-align: center;\n            }\n            #ays-quiz-container-10 .ays-progress-bar {\n                background-color: #449aba;\n            }\n            #ays-quiz-container-10 .ays-question-counter .ays-live-bar-wrap {\n                direction:ltr !important;\n            }\n            #ays-quiz-container-10 .ays-live-bar-fill{\n                color: #000000;\n                border-bottom: 2px solid rgba(0,0,0,0.8);\n                text-shadow: 0px 0px 5px #fff;\n            }\n            #ays-quiz-container-10 .ays-live-bar-fill.ays-live-fourth,\n            #ays-quiz-container-10 .ays-live-bar-fill.ays-live-third,\n            #ays-quiz-container-10 .ays-live-bar-fill.ays-live-second {\n                text-shadow: unset;\n            }\n            #ays-quiz-container-10 .ays-live-bar-percent{\n                display:none;\n            }\n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays_average {\n                text-align: center;\n            }\n            \n            \/* Music, Sound *\/\n            #ays-quiz-container-10 .ays_music_sound {\n                color:rgb(0,0,0);\n            }\n\n            \/* Dropdown questions scroll bar *\/\n            #ays-quiz-container-10 blockquote {\n                border-left-color: #000000 !important;                                      \n            }\n\n            \/* Quiz Password *\/\n            #ays-quiz-container-10 .ays-start-page > input[id^='ays_quiz_password_val_'],\n            #ays-quiz-container-10 .ays-quiz-password-toggle-visibility-box {\n                width: 100%;\n            }\n\n\n            \/* Question hint *\/\n            #ays-quiz-container-10 .ays_question_hint_container .ays_question_hint_text {\n                background-color:#fff;\n                box-shadow: 0 0 15px 3px rgba(201,201,201,0.6);\n                max-width: 270px;\n            }\n\n            #ays-quiz-container-10 .ays_question_hint_container .ays_question_hint_text p {\n                max-width: unset;\n            }\n\n            #ays-quiz-container-10 .ays-quiz-additonal-box {\n                display: flex;\n                justify-content: flex-end;\n                align-items: center;\n                position: relative;  \n            }\n\n            #ays-quiz-container-10 .ays_questions_hint_max_width_class {\n                max-width: 80%;\n            }\n\n            \/* Information form *\/\n            #ays-quiz-container-10 .ays-form-title{\n                color:rgb(0,0,0);\n            }\n\n            \/* Quiz timer *\/\n            #ays-quiz-container-10 div.ays-quiz-redirection-timer,\n            #ays-quiz-container-10 div.ays-quiz-timer{\n                color: #000000;\n                text-align: center;\n            }\n\n            #ays-quiz-container-10 div.ays-quiz-timer.ays-quiz-message-before-timer:before {\n                font-weight: 500;\n            }\n\n            \/* Quiz title \/ transformation *\/\n            #ays-quiz-container-10 .ays-fs-title{\n                text-transform: uppercase;\n                font-size: 23px;\n                text-align: center;\n                    text-shadow: none;\n            }\n            \n            \/* Quiz buttons *\/\n            #ays-quiz-container-10 .ays_arrow {\n                color:#ffffff!important;\n            }\n            #ays-quiz-container-10 input#ays-submit,\n            #ays-quiz-container-10 #ays_finish_quiz_10 .action-button,\n            div#ays-quiz-container-10 #ays_finish_quiz_10 .action-button.ays_restart_button,\n            #ays-quiz-container-10 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn,\n            #ays-quiz-container-10 .ays-quiz-category-selective-submit-bttn {\n                background: none;\n                background-color: #449aba;\n                color:#ffffff;\n                font-size: 15px;\n                padding: 10px 20px;\n                border-radius: 8px;\n                height: auto;\n                letter-spacing: 0;\n                box-shadow: unset;\n                width: auto;\n                \/* border: unset; *\/\n                min-height: unset;\n                line-height: normal;\n                text-shadow: unset;\n            }\n            #ays-quiz-container-10 input#ays-submit,\n            #ays-quiz-container-10 #ays_finish_quiz_10 input.action-button,\n            #ays-quiz-container-10 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn,\n            #ays-quiz-container-10 .ays-quiz-category-selective-submit-bttn {\n                \n            }\n\n            #ays-quiz-container-10 #ays_finish_quiz_10 .action-button.ays_check_answer {\n                padding: 5px 10px;\n                font-size: 15px !important;\n            }\n            #ays-quiz-container-10 #ays_finish_quiz_10 .action-button.ays_restart_button {\n                white-space: nowrap;\n                padding: 5px 10px;\n                white-space: normal;\n            }\n            #ays-quiz-container-10 input#ays-submit:hover,\n            #ays-quiz-container-10 input#ays-submit:focus,\n            #ays-quiz-container-10 #ays_finish_quiz_10 .action-button:hover,\n            #ays-quiz-container-10 #ays_finish_quiz_10 .action-button:focus,\n            #ays-quiz-container-10 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn:hover,\n            #ays-quiz-container-10 .ays-quiz-category-selective-submit-bttn:hover {\n                background: none;\n                box-shadow: 0 0 0 2px #ffffff;\n                background-color: #449aba;\n            }\n            #ays-quiz-container-10 .ays_restart_button {\n                color: #ffffff;\n            }\n            \n            #ays-quiz-container-10 .ays_restart_button_p,\n            #ays-quiz-container-10 .ays_buttons_div {\n                justify-content: center;\n            }\n\n            #ays-quiz-container-10 .ays_finish.action-button{\n                margin: 10px 5px;\n            }\n\n            #ays-quiz-container-10 .ays-share-btn.ays-share-btn-branded {\n                color: #fff;\n                display: inline-block;\n            }\n\n            #ays-quiz-container-10 .ays_quiz_results .ays-field.checked_answer_div.correct_div input:checked+label {\n                background-color: transparent;\n            }\n                        \n            \/* Question answers *\/\n            #ays-quiz-container-10 .ays-field {\n                    border-color: #dddddd;\n                    border-style: solid;\n                    border-width: 1px;\n                    box-shadow: none;flex-direction: row-reverse;\n            }\n            \n\n            \/* Answer maximum length of a text field *\/\n            #ays-quiz-container-10 .ays_quiz_question_text_message{\n                color: #000000;\n                text-align: left;\n                font-size: 12px;\n            }\n\n            div#ays-quiz-container-10 div.ays_quiz_question_text_error_message {\n                color: #ff0000;\n            }\n\n            \/* Questions answer image *\/\n            #ays-quiz-container-10 .ays-answer-image {\n                width:15em;\n                height:150px;\n                object-fit: cover;\n            }\n            \n            #ays-quiz-container-10 .ays-quiz-answers .ays-field:hover{\n                opacity: 1;\n            }\n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-field label.ays_answer_caption[for^='ays-answer-'] {\n                z-index: 1;\n                position:initial;bottom:0;}\n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-field input~label[for^='ays-answer-'] {\n                padding: 5px;\n            }\n\n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-field {\n                margin-bottom: 12px;\n            }\n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-field.ays_grid_view_item {\n                width: calc(50% - 6px);\n            }\n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-field.ays_grid_view_item:nth-child(odd) {\n                margin-right: 6px;\n            }\n            \n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-field input:checked+label:before {\n                border-color: #449aba;\n                background: #449aba;\n                background-clip: content-box;\n            }\n            #ays-quiz-container-10 .ays-quiz-answers div.ays-text-right-answer {\n                color: #000000;\n            }\n                        \n            \/* Questions answer right\/wrong icons *\/\n            #ays-quiz-container-10 .ays-field input~label.answered.correct:after{\n                content: url('http:\/\/echonews.fr\/wp-content\/plugins\/quiz-maker\/public\/images\/correct.png');          }\n            #ays-quiz-container-10 .ays-field input~label.answered.wrong:after{\n                content: url('http:\/\/echonews.fr\/wp-content\/plugins\/quiz-maker\/public\/images\/wrong.png');\n            }\n            #ays-quiz-container-10 .ays-field label.answered:last-of-type:after{\n                display: none;\n                height: auto;\n                left: 10px;top: 10px;}\n            \/* Dropdown questions *\/            \n            #ays-quiz-container-10 #ays_finish_quiz_10 .ays-field .select2-container--default .select2-selection--single {\n                border-bottom: 2px solid #449aba;\n                background-color: #449aba;\n            }\n            \n            #ays-quiz-container-10 .ays-field .select2-container--default .select2-selection--single .select2-selection__placeholder,\n            #ays-quiz-container-10 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered,\n            #ays-quiz-container-10 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow {\n                color: #ffffff;\n            }\n\n            #ays-quiz-container-10 .select2-container--default .select2-search--dropdown .select2-search__field:focus,\n            #ays-quiz-container-10 .select2-container--default .select2-search--dropdown .select2-search__field {\n                outline: unset;\n                padding: 0.75rem;\n            }\n\n            #ays-quiz-container-10 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered,\n            #ays-quiz-container-10 .select2-container--default .select2-results__option--highlighted[aria-selected] {\n                background-color: #449aba;\n            }\n\n            #ays-quiz-container-10 .ays-field .select2-container--default,\n            #ays-quiz-container-10 .ays-field .select2-container--default .selection,\n            #ays-quiz-container-10 .ays-field .select2-container--default .dropdown-wrapper,\n            #ays-quiz-container-10 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered,\n            #ays-quiz-container-10 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered .select2-selection__placeholder,\n            #ays-quiz-container-10 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow,\n            #ays-quiz-container-10 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow b[role='presentation'] {\n                font-size: 16px !important;\n            }\n\n            #ays-quiz-container-10 .select2-container--default .select2-results__option {\n                padding: 6px;\n            }\n            \n            \/* Dropdown questions scroll bar *\/\n            #ays-quiz-container-10 .select2-results__options::-webkit-scrollbar {\n                width: 7px;\n            }\n            #ays-quiz-container-10 .select2-results__options::-webkit-scrollbar-track {\n                background-color: rgba(255,255,255,0.35);\n            }\n            #ays-quiz-container-10 .select2-results__options::-webkit-scrollbar-thumb {\n                transition: .3s ease-in-out;\n                background-color: rgba(0,0,0,0.55);\n            }\n            #ays-quiz-container-10 .select2-results__options::-webkit-scrollbar-thumb:hover {\n                transition: .3s ease-in-out;\n                background-color: rgba(0,0,0,0.85);\n            }\n\n            \/* Audio \/ Video *\/\n            #ays-quiz-container-10 .mejs-container .mejs-time{\n                box-sizing: unset;\n            }\n            #ays-quiz-container-10 .mejs-container .mejs-time-rail {\n                padding-top: 15px;\n            }\n\n            #ays-quiz-container-10 .mejs-container .mejs-mediaelement video {\n                margin: 0;\n            }\n\n            \/* Limitation *\/\n            #ays-quiz-container-10 .ays-quiz-limitation-count-of-takers {\n                padding: 50px;\n            }\n\n            #ays-quiz-container-10 div.ays-quiz-results-toggle-block span.ays-show-res-toggle.ays-res-toggle-show,\n            #ays-quiz-container-10 div.ays-quiz-results-toggle-block span.ays-show-res-toggle.ays-res-toggle-hide{\n                color: #000000;\n            }\n\n            #ays-quiz-container-10 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle {\n                border: 1px solid #000000;\n            }\n\n            #ays-quiz-container-10 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle {\n                border: 1px solid #000000;\n            }\n\n            #ays-quiz-container-10 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after{\n                background: #000000;\n            }\n\n            #ays-quiz-container-10.ays_quiz_elegant_dark div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after,\n            #ays-quiz-container-10.ays_quiz_rect_dark div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after{\n                background: #000;\n            }\n\n            \/* Hestia theme (Version: 3.0.16) | Start *\/\n            #ays-quiz-container-10 .mejs-container .mejs-inner .mejs-controls .mejs-button > button:hover,\n            #ays-quiz-container-10 .mejs-container .mejs-inner .mejs-controls .mejs-button > button {\n                box-shadow: unset;\n                background-color: transparent;\n            }\n            #ays-quiz-container-10 .mejs-container .mejs-inner .mejs-controls .mejs-button > button {\n                margin: 10px 6px;\n            }\n            \/* Hestia theme (Version: 3.0.16) | End *\/\n\n            \/* Go theme (Version: 1.4.3) | Start *\/\n            #ays-quiz-container-10 label[for^='ays-answer']:before,\n            #ays-quiz-container-10 label[for^='ays-answer']:before {\n                -webkit-mask-image: unset;\n                mask-image: unset;\n            }\n\n            #ays-quiz-container-10.ays_quiz_classic_light .ays-field input:checked+label.answered.correct:before,\n            #ays-quiz-container-10.ays_quiz_classic_dark .ays-field input:checked+label.answered.correct:before {\n                background-color: #449aba !important;\n                background-color: rgba(39,174,96, 1) !important;\n            }\n            \/* Go theme (Version: 1.4.3) | End *\/\n\n            #ays-quiz-container-10 .ays_quiz_results fieldset.ays_fieldset .ays_quiz_question .wp-video {\n                width: 100% !important;\n                max-width: 100%;\n            }\n\n            \/* Classic Dark \/ Classic Light *\/\n            \/* Dropdown questions right\/wrong styles *\/\n            #ays-quiz-container-10.ays_quiz_classic_dark .correct_div,\n            #ays-quiz-container-10.ays_quiz_classic_light .correct_div{\n                border-color:green !important;\n                opacity: 1 !important;\n                background-color: rgba(39,174,96,0.4) !important;\n            }\n            #ays-quiz-container-10.ays_quiz_classic_dark .correct_div .selected-field,\n            #ays-quiz-container-10.ays_quiz_classic_light .correct_div .selected-field {\n                padding: 0px 10px 0px 10px;\n                color: green !important;\n            }\n\n            #ays-quiz-container-10.ays_quiz_classic_dark .wrong_div,\n            #ays-quiz-container-10.ays_quiz_classic_light .wrong_div{\n                border-color:red !important;\n                opacity: 1 !important;\n                background-color: rgba(243,134,129,0.4) !important;\n            }\n            #ays-quiz-container-10.ays_quiz_classic_dark .ays-field.checked_answer_div.wrong_div input:checked~label,\n            #ays-quiz-container-10.ays_quiz_classic_light .ays-field.checked_answer_div.wrong_div input:checked~label {\n                background-color: rgba(243,134,129,0.4) !important;\n            }\n            #ays-quiz-container-10.ays_quiz_classic_dark .ays-field,\n            #ays-quiz-container-10.ays_quiz_classic_light .ays-field {\n                text-align: left;\n                \/*margin-bottom: 10px;*\/\n                padding: 0;\n                transition: .3s ease-in-out;\n            }\n\n            #ays-quiz-container-10 .ays-quiz-close-full-screen {\n                fill: #000000;\n            }\n\n            #ays-quiz-container-10 .ays-quiz-open-full-screen {\n                fill: #000000;\n            }\n\n            #ays-quiz-container-10 .ays_quiz_login_form p{\n                color: #000000;\n            }\n\n            \/* report questions modal start *\/\n            .ays-modal-reports {\n                display: none;\n                position: fixed;\n                z-index: 9999;\n                left: 0;\n                top: 0;\n                width: 100%;\n                height: 100%;\n                overflow: auto;\n                background-color: rgba(0, 0, 0, 0.4);\n                animation-duration: .5s;\n                background-color: rgba(0, 0, 0, 0.4);\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-modal-content-reports {\n                background-color: #fefefe;\n                margin: 10% auto;\n                border: 1px solid #888;\n                max-width: 500px;\n                width: 100%;\n                border-radius: 10px;\n                padding: 20px;\n                box-sizing: border-box;\n                position: relative;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-modal-content-reports label{\n                display: block;\n                margin-bottom: 10px;\n                font-weight: bold;\n                letter-spacing: normal;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-modal-content-reports textarea {\n                display: block;\n                width: 100%;\n                height: 100px;\n                padding: 5px;\n                box-sizing: border-box;\n                border-radius: 5px;\n                border: 1px solid #ccc;\n                max-width: 100%;\n                max-height: 500px;\n                resize: vertical;\n                transition: unset;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-modal-content-reports input.ays-quiz-submit-question-report {\n                background-color: #0073aa;\n                color: #fff !important;\n                border: none;\n                border-radius: 5px;\n                padding: 10px 20px;\n                cursor: pointer;\n                margin-top: 20px;\n                line-height: normal;\n                letter-spacing: normal;\n                box-shadow: unset;\n                background-image: unset;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-close-reports-window {\n                color: #aaa;\n                font-weight: bold;\n                position: absolute;\n                top: 1%;\n                right: 1%;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-close-reports-window img {\n                box-shadow: unset;\n            }\n            \n            #ays-quiz-question-report-modal-10 .ays-quiz-preloader img {\n                box-shadow: unset;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-close-reports-window img:hover,\n            #ays-quiz-question-report-modal-10 .ays-close-reports-window img:focus {\n                cursor: pointer;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-quiz-question-report-error {\n                display: none;\n                font-size: 13px;\n                color: #f00;\n                text-align: left;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-quiz-question-report-textarea-label,\n            #ays-quiz-question-report-modal-10 .ays-quiz-question-report-title {\n                text-align: left;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays_quiz_modal_overlay {\n                width: 100%;\n                height: 100%;\n                position: fixed;\n                top: 0;\n                left: 0;\n                position: absolute;\n                z-index: 1000000000;\n                flex-direction: column;\n            }\n\n            #ays-quiz-question-report-modal-10 .ays-quiz-container .ays-quiz-user-c\u0570oosing-anonymous-assessment {\n                margin: 10px 0;\n            }\n\n            \/* report questions modal end *\/\n\n            @media screen and (max-width: 768px){\n                #ays-quiz-container-10{\n                    max-width: 100%;\n                }\n\n                div#ays-quiz-container-10 [id^='ays_finish_quiz_'] div.step div.ays-abs-fs {\n                    width: 90%;\n                }\n\n                #ays-quiz-container-10 .ays_quiz_question p {\n                    font-size: 16px;\n                }\n\n                #ays-quiz-container-10 .select2-container,\n                #ays-quiz-container-10 .ays-field * {\n                    font-size: 13px !important;\n                }\n\n                div#ays-quiz-container-10 input#ays-submit,\n                div#ays-quiz-container-10 #ays_finish_quiz_10 .action-button,\n                div#ays-quiz-container-10 #ays_finish_quiz_10 .action-button.ays_restart_button,\n                #ays-quiz-container-10 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn,\n                #ays-quiz-container-10 .ays-quiz-category-selective-submit-bttn {\n                    font-size: 13px;\n                }\n\n                \/* Quiz title \/ mobile font size *\/\n                div#ays-quiz-container-10 .ays-fs-title {\n                    font-size: 13px;\n                }\n\n                \/* Question explanation \/ mobile font size *\/\n                #ays-quiz-container-10 .ays_questtion_explanation p {\n                    font-size:14px;\n                }\n\n                \/* Wrong answers \/ mobile font size *\/\n                #ays-quiz-container-10 .wrong_answer_text p {\n                    font-size:14px;\n                }\n\n                \/* Right answers \/ mobile font size *\/\n                #ays-quiz-container-10 .right_answer_text p {\n                    font-size:14px;\n                }\n\n                \/* Note text \/ mobile font size *\/\n                #ays-quiz-container-10 .ays-quiz-question-note-message-box p {\n                    font-size:14px;\n                }\n\n                div#ays-quiz-container-10 .ays-quiz-question-note-message-box *:not(strong) {\n                    text-transform:none;\n                    text-decoration: none;\n                    letter-spacing: 0px;\n                }\n\n                div#ays-quiz-container-10 .ays_questtion_explanation *:not(strong) {\n                    text-transform:none;\n                    text-decoration: none;\n                    letter-spacing: 0px;\n                }\n\n                div#ays-quiz-container-10 .right_answer_text *:not(strong) {\n                    text-transform:none;\n                    text-decoration: none;\n                    letter-spacing: 0px;\n                }\n\n                div#ays-quiz-container-10 .wrong_answer_text *:not(strong) {\n                    text-transform:none;\n                    text-decoration: none;\n                    letter-spacing: 0px;\n                }\n            }\n            \/* Custom css styles *\/\n            \n            \n            \/* RTL direction styles *\/\n            \n        <\/style>\n            <style>\n                #ays-quiz-container-10 p {\n                    margin: 0.625em;\n                }\n                \n                #ays-quiz-container-10 .ays-field.checked_answer_div input:checked~label {\n                    background-color: rgba(68,154,186,0.6);\n                }\n\n                #ays-quiz-container-10.ays_quiz_classic_light  .ays_quiz_results .ays-field.checked_answer_div input:checked~label,\n                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TUMOR","description":"","quiz_image":"","quiz_category_id":"1","question_ids":"322,321,320,319,318,317,316,315,314,313,312,311,310,309,308,307,306,305,304,303,302,301,300,299,298,297,296,295,294,293,292,291,290,289,288,287,286,285,284,283,282","ordering":"10","published":"1","intervals":null,"quiz_url":"","author_id":"1","custom_post_id":"5736","quiz_animation_top":100,"quiz_enable_animation_top":"on"}';\n        <\/script>\n                    <input type='hidden' name='quiz_id' value='10'\/>\n                    <input type='hidden' name='start_date' class='ays-start-date'\/>\n                <\/form><\/div>\n                            <\/div>\n                            <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-2a0d37c elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"2a0d37c\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-63d6745\" data-id=\"63d6745\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b2f401f elementor-widget elementor-widget-text-editor\" data-id=\"b2f401f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Synthesis sheet<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5603b10 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"5603b10\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-0a905df elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"0a905df\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-db78107\" data-id=\"db78107\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-753cf95 elementor-widget elementor-widget-text-editor\" data-id=\"753cf95\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ol><li><span style=\"color: #2f7ba5;\"><strong> Definition and Epidemiology<\/strong><\/span><\/li><\/ol><ul><li><strong>Wilms Tumor (WT)<\/strong>, or nephroblastoma, is the most common malignant renal tumor in children.<\/li><li>Accounts for <strong>5\u20137% of pediatric cancers<\/strong>, with a peak incidence between <strong>3\u20135 years old<\/strong>.<\/li><li>Slight female predominance; higher incidence in African-American populations.<\/li><li>Mostly <strong>sporadic<\/strong> cases, but associated with several syndromes:<ul><li><strong>WAGR<\/strong> (Wilms tumor, Aniridia, Genitourinary anomalies, mental Retardation)<\/li><li><strong>Denys-Drash Syndrome<\/strong><\/li><li><strong>Beckwith-Wiedemann Syndrome<\/strong><\/li><\/ul><\/li><\/ul><ol start=\"2\"><li><span style=\"color: #2f7ba5;\"><strong> Pathophysiology and Genetics<\/strong><\/span><\/li><\/ol><ul><li>WT arises from persistent embryonal renal cells due to genetic and epigenetic alterations.<\/li><li><strong>Key Genes Involved:<\/strong><ul><li><strong>WT1<\/strong>: tumor suppressor gene on chromosome 11p13.<\/li><li><strong>CTNNB1<\/strong>, <strong>SIX1<\/strong>, <strong>MYCN<\/strong>, <strong>DIS3<\/strong>, <strong>TRIM28<\/strong>, <strong>TERT<\/strong> mutations.<\/li><\/ul><\/li><li><strong>Chromosomal abnormalities:<\/strong><ul><li><strong>LOH at 1p and 16q<\/strong> = Poor prognosis.<\/li><li><strong>Gain of 1q<\/strong> = Strong adverse prognostic marker (around 30% of tumors).<\/li><\/ul><\/li><\/ul><ol start=\"3\"><li><span style=\"color: #2f7ba5;\"><strong> Histology<\/strong><\/span><\/li><\/ol><ul><li><strong>Favorable Histology (FH)<\/strong>: ~90% of cases, good prognosis.<\/li><li><strong>Anaplastic Histology (Unfavorable)<\/strong>:<ul><li>Diffuse or focal anaplasia \u2192 higher chemoresistance and relapse rates.<\/li><\/ul><\/li><li>Other related tumors: <strong>Clear Cell Sarcoma<\/strong> and <strong>Rhabdoid Tumor of the Kidney<\/strong> (distinct, more aggressive).<\/li><\/ul><ol start=\"4\"><li><span style=\"color: #2f7ba5;\"><strong> Clinical Presentation<\/strong><\/span><\/li><\/ol><ul><li>Painless abdominal mass (most common).<\/li><li>Other signs: hematuria, hypertension, abdominal pain, fever.<\/li><li>Rarely: acute abdomen (due to tumor rupture).<\/li><\/ul><ol start=\"5\"><li><span style=\"color: #2f7ba5;\"><strong> Diagnostic Strategy<\/strong><\/span><\/li><\/ol><ul><li><strong>First-line imaging:<\/strong> Abdominal <strong>Ultrasound<\/strong>.<\/li><li><strong>Further imaging:<\/strong><ul><li><strong>CT scan<\/strong> or <strong>MRI<\/strong> (better soft tissue characterization, venous extension).<\/li><li><strong>Diffusion-weighted MRI<\/strong> and <strong>3D segmentation<\/strong> for surgical planning.<\/li><\/ul><\/li><li><strong>Liquid biopsy:<\/strong> Detection of cfDNA mutations (e.g., WT1, PIK3CA) is emerging.<\/li><\/ul><ol start=\"6\"><li><span style=\"color: #2f7ba5;\"><strong> Staging Systems<\/strong><\/span><\/li><\/ol><ul><li><strong>COG (Children&#8217;s Oncology Group):<\/strong> upfront nephrectomy \u2192 histology-based staging.<\/li><li><strong>SIOP (International Society of Pediatric Oncology):<\/strong> preoperative chemotherapy \u2192 delayed surgery \u2192 restaging.<\/li><li><strong>Stage I\u2013V classification:<\/strong><ul><li>Stage V = Bilateral disease.<\/li><\/ul><\/li><\/ul><ol start=\"7\"><li><span style=\"color: #2f7ba5;\"><strong> Treatment<\/strong><\/span><\/li><\/ol><p style=\"padding-left: 40px;\"><strong> Standard Treatment<\/strong><\/p><ul><li><strong>Localized FH WT:<\/strong><ul><li>Nephrectomy + 2-drug chemotherapy (vincristine + dactinomycin).<\/li><\/ul><\/li><li><strong>Higher-stage or unfavorable histology:<\/strong><ul><li>Addition of doxorubicin, radiotherapy, or intensified regimens.<\/li><\/ul><\/li><\/ul><p style=\"padding-left: 40px;\"><strong> Nephron-Sparing Surgery (NSS)<\/strong><\/p><ul><li>Indicated for bilateral WT, solitary kidneys, or low-volume tumors.<\/li><li>Requires careful imaging assessment.<\/li><\/ul><p style=\"padding-left: 40px;\"><strong> Emerging Therapies<\/strong><\/p><ul><li><strong>Anti-GD2 immunotherapy<\/strong> (relapsed WT).<\/li><li><strong>HIF-2\u03b1 inhibitors<\/strong>, <strong>Wnt\/\u03b2-catenin pathway inhibitors<\/strong>.<\/li><li><strong>WT1-targeted vaccines and small molecules<\/strong>.<\/li><\/ul><ol start=\"8\"><li><span style=\"color: #2f7ba5;\"><strong> Prognostic Factors<\/strong><\/span><\/li><\/ol><ul><li><strong>Positive Prognostic Indicators:<\/strong><ul><li>Favorable histology, complete surgical resection, small tumor size.<\/li><\/ul><\/li><li><strong>Negative Prognostic Indicators:<\/strong><ul><li>Anaplasia, LOH 1p\/16q, gain of 1q, incomplete response to pre-op chemotherapy.<\/li><\/ul><\/li><\/ul><ol start=\"9\"><li><span style=\"color: #2f7ba5;\"><strong> Long-Term Outcomes and Late Effects<\/strong><\/span><\/li><\/ol><ul><li>90% survival for localized WT.<\/li><\/ul><ul><li><strong>Late effects:<\/strong><ul><li>Cardiotoxicity (doxorubicin), nephropathy, secondary malignancies, infertility.<\/li><li>Emphasis on lifelong surveillance and transition to adult care programs.<\/li><\/ul><\/li><\/ul><ol start=\"10\"><li><span style=\"color: #2f7ba5;\"><strong> Personalized Medicine in Wilms Tumor<\/strong><\/span><\/li><\/ol><ul><li><strong>Integration of genomics<\/strong> (WT1, SIX1, MYCN status) and <strong>radiogenomics<\/strong> (MRI-based tumor features).<\/li><li>Use of <strong>liquid biopsy<\/strong> and <strong>cfDNA<\/strong> for real-time monitoring.<\/li><li>Personalized risk stratification aims to:<ul><li>Escalate therapy for high-risk patients.<\/li><li>De-escalate therapy for low-risk patients to reduce toxicity.<\/li><\/ul><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-b350dd1 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"b350dd1\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d63bab2\" data-id=\"d63bab2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bca618d elementor-widget elementor-widget-image\" data-id=\"bca618d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-001\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU4MiwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDEuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001.jpg\" class=\"attachment-full size-full wp-image-5582\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-cd83929 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"cd83929\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-34f9ca3\" data-id=\"34f9ca3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-190d11c elementor-widget elementor-widget-text-editor\" data-id=\"190d11c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Iconography and Image Processing<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f26d74 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"8f26d74\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-23b68bf7 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"23b68bf7\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-10913a4c\" data-id=\"10913a4c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-19d574a6 elementor-widget elementor-widget-video\" data-id=\"19d574a6\" data-element_type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;hosted&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;play_on_mobile&quot;:&quot;yes&quot;,&quot;loop&quot;:&quot;yes&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-hosted-video elementor-wrapper elementor-open-inline\">\n\t\t\t\t\t<video class=\"elementor-video\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro1.mp4\" autoplay=\"\" loop=\"\" controls=\"\" playsinline=\"\" controlsList=\"nodownload\"><\/video>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-71d37801\" data-id=\"71d37801\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c5d9af3 elementor-widget elementor-widget-video\" data-id=\"3c5d9af3\" data-element_type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;hosted&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;play_on_mobile&quot;:&quot;yes&quot;,&quot;loop&quot;:&quot;yes&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-hosted-video elementor-wrapper elementor-open-inline\">\n\t\t\t\t\t<video class=\"elementor-video\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/Uro2.mp4\" autoplay=\"\" loop=\"\" controls=\"\" playsinline=\"\" controlsList=\"nodownload\"><\/video>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-78428a57 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"78428a57\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1ad20740\" data-id=\"1ad20740\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-304c2b90 elementor-widget elementor-widget-video\" data-id=\"304c2b90\" data-element_type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;hosted&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;play_on_mobile&quot;:&quot;yes&quot;,&quot;loop&quot;:&quot;yes&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-hosted-video elementor-wrapper elementor-open-inline\">\n\t\t\t\t\t<video class=\"elementor-video\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/Uro-5_1.mp4\" autoplay=\"\" loop=\"\" controls=\"\" playsinline=\"\" controlsList=\"nodownload\"><\/video>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-60f24712\" data-id=\"60f24712\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c935c5a elementor-widget elementor-widget-video\" data-id=\"1c935c5a\" data-element_type=\"widget\" data-settings=\"{&quot;video_type&quot;:&quot;hosted&quot;,&quot;autoplay&quot;:&quot;yes&quot;,&quot;play_on_mobile&quot;:&quot;yes&quot;,&quot;loop&quot;:&quot;yes&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-hosted-video elementor-wrapper elementor-open-inline\">\n\t\t\t\t\t<video class=\"elementor-video\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/Uro-4.mp4\" autoplay=\"\" loop=\"\" controls=\"\" playsinline=\"\" controlsList=\"nodownload\"><\/video>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-526a3b9 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"526a3b9\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f34ddc7\" data-id=\"f34ddc7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1188ed6 elementor-widget elementor-widget-wpr-before-after\" data-id=\"1188ed6\" data-element_type=\"widget\" data-widget_type=\"wpr-before-after.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpr-ba-image-container wpr-ba-horizontal wpr-ba-labels-default\" data-position=\"50\" data-trigger=\"drag\"><div class=\"wpr-ba-image-1\"><img decoding=\"async\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/nephr-av.jpg\"><\/div><div class=\"wpr-ba-image-2\"><img decoding=\"async\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/nephr-ap.jpg\"><\/div><div class=\"wpr-ba-divider\"><div class=\"wpr-ba-divider-icons\"><i class=\"fa fa-angle-left\"><\/i><i class=\"fa fa-angle-right\"><\/i><\/div><\/div><div class=\"wpr-ba-label wpr-ba-label-1\"><div>BEFORE<\/div><\/div><div class=\"wpr-ba-label wpr-ba-label-2\"><div>AFTER<\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c4ba4c4 elementor-widget elementor-widget-text-editor\" data-id=\"c4ba4c4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Faire glisser le slider<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6114f56\" data-id=\"6114f56\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f483d7 elementor-widget elementor-widget-wpr-before-after\" data-id=\"1f483d7\" data-element_type=\"widget\" data-widget_type=\"wpr-before-after.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpr-ba-image-container wpr-ba-horizontal wpr-ba-labels-default\" data-position=\"50\" data-trigger=\"drag\"><div class=\"wpr-ba-image-1\"><img decoding=\"async\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro5-av.jpg\"><\/div><div class=\"wpr-ba-image-2\"><img decoding=\"async\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro5-ap.jpg\"><\/div><div class=\"wpr-ba-divider\"><div class=\"wpr-ba-divider-icons\"><i class=\"fa fa-angle-left\"><\/i><i class=\"fa fa-angle-right\"><\/i><\/div><\/div><div class=\"wpr-ba-label wpr-ba-label-1\"><div>BEFORE<\/div><\/div><div class=\"wpr-ba-label wpr-ba-label-2\"><div>AFTER<\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8fe8d5e elementor-widget elementor-widget-text-editor\" data-id=\"8fe8d5e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Faire glisser le slider<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-086690c elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"086690c\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b300695\" data-id=\"b300695\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-04ed7f7 elementor-widget elementor-widget-wpr-before-after\" data-id=\"04ed7f7\" data-element_type=\"widget\" data-widget_type=\"wpr-before-after.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpr-ba-image-container wpr-ba-horizontal wpr-ba-labels-default\" data-position=\"50\" data-trigger=\"drag\"><div class=\"wpr-ba-image-1\"><img decoding=\"async\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-av.jpg\"><\/div><div class=\"wpr-ba-image-2\"><img decoding=\"async\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ap.jpg\"><\/div><div class=\"wpr-ba-divider\"><div class=\"wpr-ba-divider-icons\"><i class=\"fa fa-angle-left\"><\/i><i class=\"fa fa-angle-right\"><\/i><\/div><\/div><div class=\"wpr-ba-label wpr-ba-label-1\"><div>BEFORE<\/div><\/div><div class=\"wpr-ba-label wpr-ba-label-2\"><div>AFTER<\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4a4d9df elementor-widget elementor-widget-text-editor\" data-id=\"4a4d9df\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Faire glisser le slider<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0a968c8\" data-id=\"0a968c8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-33873ee elementor-widget elementor-widget-wpr-before-after\" data-id=\"33873ee\" data-element_type=\"widget\" data-widget_type=\"wpr-before-after.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpr-ba-image-container wpr-ba-horizontal wpr-ba-labels-default\" data-position=\"50\" data-trigger=\"drag\"><div class=\"wpr-ba-image-1\"><img decoding=\"async\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro6-av.jpg\"><\/div><div class=\"wpr-ba-image-2\"><img decoding=\"async\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro6-ap.jpg\"><\/div><div class=\"wpr-ba-divider\"><div class=\"wpr-ba-divider-icons\"><i class=\"fa fa-angle-left\"><\/i><i class=\"fa fa-angle-right\"><\/i><\/div><\/div><div class=\"wpr-ba-label wpr-ba-label-1\"><div>BEFORE<\/div><\/div><div class=\"wpr-ba-label wpr-ba-label-2\"><div>AFTER<\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a47c753 elementor-widget elementor-widget-text-editor\" data-id=\"a47c753\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\">Faire glisser le slider<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-1008f3a elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"1008f3a\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e7fcc45\" data-id=\"e7fcc45\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f062940 elementor-widget elementor-widget-text-editor\" data-id=\"f062940\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>PowerPoint Slide Deck<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-74fc3cc elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"74fc3cc\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-d2b4811 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"d2b4811\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f19196b\" data-id=\"f19196b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-faf1bfe elementor-widget elementor-widget-image\" data-id=\"faf1bfe\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-001\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU4MiwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDEuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001.jpg\" class=\"attachment-full size-full wp-image-5582\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-001-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-ebc1215\" data-id=\"ebc1215\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0fe15f5 elementor-widget elementor-widget-image\" data-id=\"0fe15f5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-002.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-002\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU4MywidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDIuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-002.jpg\" class=\"attachment-full size-full wp-image-5583\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-002.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-002-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-002-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-002-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-002-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-7980ee2 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"7980ee2\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3fbb513\" data-id=\"3fbb513\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d320c12 elementor-widget elementor-widget-image\" data-id=\"d320c12\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-003.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-003\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU4NywidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDMuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-003.jpg\" class=\"attachment-full size-full wp-image-5587\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-003.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-003-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-003-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-003-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-003-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1f1b7de\" data-id=\"1f1b7de\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cf46460 elementor-widget elementor-widget-image\" data-id=\"cf46460\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-004.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-004\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU4OCwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDQuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-004.jpg\" class=\"attachment-full size-full wp-image-5588\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-004.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-004-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-004-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-004-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-004-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-b6c64b8 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"b6c64b8\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7d24227\" data-id=\"7d24227\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-805c1a9 elementor-widget elementor-widget-image\" data-id=\"805c1a9\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-005.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-005\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU5MiwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDUuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-005.jpg\" class=\"attachment-full size-full wp-image-5592\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-005.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-005-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-005-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-005-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-005-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-be699a8\" data-id=\"be699a8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b92bef0 elementor-widget elementor-widget-image\" data-id=\"b92bef0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-006.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-006\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU5MywidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDYuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-006.jpg\" class=\"attachment-full size-full wp-image-5593\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-006.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-006-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-006-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-006-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-006-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-ea66587 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"ea66587\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e0f353a\" data-id=\"e0f353a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7605acf elementor-widget elementor-widget-image\" data-id=\"7605acf\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-007.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-007\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU5NywidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDcuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-007.jpg\" class=\"attachment-full size-full wp-image-5597\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-007.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-007-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-007-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-007-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-007-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-29a2257\" data-id=\"29a2257\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6b5d466 elementor-widget elementor-widget-image\" data-id=\"6b5d466\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-008.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-008\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTU5OCwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDguanBnIn0%3D\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-008.jpg\" class=\"attachment-full size-full wp-image-5598\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-008.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-008-300x169.jpg 300w, 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src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-009.jpg\" class=\"attachment-full size-full wp-image-5602\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-009.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-009-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-009-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-009-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-009-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-57b4329\" data-id=\"57b4329\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-29cc08e elementor-widget elementor-widget-image\" data-id=\"29cc08e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0010.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0010\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYwMywidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDEwLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0010.jpg\" class=\"attachment-full size-full wp-image-5603\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0010.jpg 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elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7d1847b\" data-id=\"7d1847b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1e28126 elementor-widget elementor-widget-image\" data-id=\"1e28126\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0011.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0011\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYwNywidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDExLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0011.jpg\" class=\"attachment-full size-full wp-image-5607\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0011.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0011-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0011-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0011-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0011-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-fd77813\" data-id=\"fd77813\" data-element_type=\"column\">\n\t\t\t<div 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srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0012.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0012-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0012-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0012-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0012-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-d75d032 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"d75d032\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e01ed55\" data-id=\"e01ed55\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-466662e elementor-widget elementor-widget-image\" data-id=\"466662e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0013.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0013\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYwOSwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDEzLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0013.jpg\" class=\"attachment-full size-full wp-image-5609\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0013.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0013-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0013-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0013-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0013-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" 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data-id=\"3527529\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0015.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0015\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYxNCwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDE1LmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0015.jpg\" class=\"attachment-full size-full wp-image-5614\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0015.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0015-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0015-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0015-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0015-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6eb3caf\" data-id=\"6eb3caf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0b373ca elementor-widget elementor-widget-image\" data-id=\"0b373ca\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0016.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0016\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYxNSwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDE2LmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0016.jpg\" class=\"attachment-full size-full wp-image-5615\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0016.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0016-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0016-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0016-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0016-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-28fa3e0 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"28fa3e0\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-182521e\" data-id=\"182521e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap 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http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0018-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0018-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-62b2179 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"62b2179\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-132e754\" data-id=\"132e754\" 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srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0019.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0019-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0019-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0019-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0019-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0910811\" data-id=\"0910811\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9403101 elementor-widget elementor-widget-image\" data-id=\"9403101\" 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http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0020-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0020-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0020-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-2d1ae83 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"2d1ae83\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bf59a6b\" data-id=\"bf59a6b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-61f36de elementor-widget elementor-widget-image\" data-id=\"61f36de\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0021.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0021\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYyNiwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDIxLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0021.jpg\" class=\"attachment-full size-full wp-image-5626\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0021.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0021-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0021-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0021-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0021-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8feb84a\" data-id=\"8feb84a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b499beb elementor-widget elementor-widget-image\" data-id=\"b499beb\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0022.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0022\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYyNywidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDIyLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0022.jpg\" class=\"attachment-full size-full wp-image-5627\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0022.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0022-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0022-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0022-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0022-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-b24a5e7 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"b24a5e7\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b39556a\" data-id=\"b39556a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2e7260f elementor-widget elementor-widget-image\" data-id=\"2e7260f\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0023.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0023\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYyOCwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDIzLmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0023.jpg\" class=\"attachment-full size-full wp-image-5628\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0023.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0023-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0023-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0023-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0023-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-92d4461\" data-id=\"92d4461\" data-element_type=\"column\">\n\t\t\t<div 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data-id=\"e1c7a99\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0027.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0027\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYzMiwidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDI3LmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0027.jpg\" class=\"attachment-full size-full wp-image-5632\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0027.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0027-300x169.jpg 300w, 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href=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0028.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"uro-ppt-def-0028\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6NTYzMywidXJsIjoiaHR0cDpcL1wvZWNob25ld3MuZnJcL3dwLWNvbnRlbnRcL3VwbG9hZHNcLzIwMjVcLzA0XC91cm8tcHB0LWRlZi0wMDI4LmpwZyJ9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0028.jpg\" class=\"attachment-full size-full wp-image-5633\" alt=\"\" srcset=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0028.jpg 1920w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0028-300x169.jpg 300w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0028-1024x576.jpg 1024w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0028-768x432.jpg 768w, http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/uro-ppt-def-0028-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-a7dacad elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"a7dacad\" data-element_type=\"section\" data-settings=\"{&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-59dc497\" data-id=\"59dc497\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Demo Demo From Bibliography to Educational Materials In the evolving landscape of education, artificial intelligence offers a transformative opportunity for teachers and students alike. This demo aims to illustrate how, by leveraging the capabilities of today&#8217;s leading AI technologies, it is possible to generate a wide array of high-quality educational resources around a single subject. The introduction of AI has multiplied the teacher\u2019s capacity for content creation by a factor still difficult to measure. It dramatically enhances not only the number of materials produced but also their quality and variety. By using AI tools, educators can now design courses, synthesize complex bibliographies, create detailed lecture slides, develop case studies, formulate quizzes, and offer personalized learning aids\u2014at a speed and depth never before imaginable. Our ambition is to show how these tools can support both the teacher and the student: assisting educators in the efficient conception and realization of their courses, and providing students with richer, more diverse materials to facilitate a deeper understanding and assimilation of the subject matter. Ultimately, rather than replacing the teacher\u2019s voice, AI stands as a powerful ally\u2014enabling educators to spend more time focusing on pedagogical strategy, personal mentorship, and the transmission of clinical wisdom that remains irreplaceable. Wilms Tumor:&nbsp;From Biology to Personalized Therapeutics Wilms Tumor: From Biology to Personalized Therapeutics Dr Anne Dupont Hm-envelop Linkedin X-twitter Dr Margaret Smith Hm-envelop Linkedin Dr Fran\u00e7ois durand Hm-envelop Youtube Linkedin Bibliography Multifaceted Functions of the Wilms Tumor 1 Protein: From Its Expression in Various Malignancies to Targeted Therapy \/ Qing Nian, Yan Lin, Jinhao Zeng, Yanna Zhang, Rongxing Liu Translational Oncology, Volume 52, 2025, Article 102237 https:\/\/doi.org\/10.1016\/j.tranon.2024.102237 Overview of WT1: Biology and Structure WT1 (Wilms Tumor 1) is a zinc finger transcription factor encoded on chromosome 11p13, originally described as a tumor suppressor in pediatric nephroblastoma. However, its function is far more complex: depending on the cellular context, WT1 can act as an oncogene or a tumor suppressor. It regulates gene transcription, cellular differentiation, and organogenesis during development, and maintains homeostasis in adult tissues. WT1 produces multiple isoforms (+KTS, \u2013KTS) through alternative splicing, each playing distinct roles in gene expression and tumor biology. Its expression is typically restricted to embryonic and select adult tissues like kidney podocytes, but is aberrantly upregulated in a wide array of cancers. Hematologic Malignancies and WT1 a) Acute Myeloid Leukemia (AML) WT1 is mutated in ~15% of AML patients and often co-mutated with FLT3-ITD or NPM1. These mutations influence the Wnt\/\u03b2-catenin, TET2, and MEG3 pathways, promote leukemogenesis, and impact response to chemotherapy. WT1 overexpression enhances stemness, self-renewal, and resistance to apoptosis. b) Myelodysplastic Syndromes (MDS) WT1 is overexpressed in ~50% of MDS patients. It is associated with poor prognosis and disease progression. WT1 interacts synergistically with FLT3 mutations, contributing to transformation to AML. c) T-cell Acute Lymphoblastic Leukemia (T-ALL) WT1 mutations (~10% of T-ALL cases) activate the IL7R-JAK-STAT pathway and impair TP53-mediated DNA damage response. Co-occurrence with NOTCH1\/FBXW7\/FLT3 mutations suggests an oncogenic synergy. d) Chronic Myeloid Leukemia (CML) WT1 expression is increased in advanced CML via BCR-ABL1 activation. It contributes to resistance against tyrosine kinase inhibitors like imatinib by interfering with apoptosis and gene regulation through the WT1\/ZNF224\/c-Myc axis. e) Acute Promyelocytic Leukemia (APL) WT1 interacts with the PML-RARA fusion protein, altering differentiation. Noncoding mutations in WT1 may also contribute to leukemogenesis. WT1 in Solid Tumors a) Lung Cancer WT1 promotes VEGF isoform expression and angiogenesis. It may serve as a target to reverse resistance to EGFR inhibitors in non-small-cell lung cancer (NSCLC). b) Breast Cancer WT1 isoforms have distinct roles in ER-positive and triple-negative breast cancer. They affect ER\u03b1 signaling, promote EMT and metastasis, and may predict resistance to hormone therapy. WT1-targeted vaccines in combination with endocrine therapy show promising early results. c) Neuroblastoma In neuroblastoma, WT1 often functions as a tumor suppressor. It promotes differentiation through inhibition of PI3K\/Akt and MAPK\/ERK pathways. However, high WT1 is paradoxically associated with poor prognosis in non-MYCN-amplified tumors. d) Prostate Cancer WT1 downregulates E-cadherin, facilitating migration and metastasis. It also modulates VEGF transcription and androgen receptor activity, influencing hormone resistance. e) Hepatocellular and Pancreatic Cancer WT1 influences Wnt\/\u03b2-catenin, JAK2\/STAT3, and NF-\u03baB pathways. It promotes tumorigenesis, invasion, and modulates immune escape mechanisms. In pancreatic ductal adenocarcinoma, it interacts with STAT3 and miR-216a\/KRT7, facilitating metastasis. f) Ovarian Cancer WT1 is highly expressed in serous subtypes and promotes EMT via ERK1\/2 and E-calmodulin pathways. It is involved in mesenchymal\u2013epithelial transitions (MET) and cancer stem cell formation through interaction with EZH2. g) Astrocytomas\/Glioblastoma WT1 contributes to glioblastoma aggressiveness and poor prognosis. Its inhibition enhances radiosensitivity, and WT1 vaccines elicit cytotoxic immune responses in glioma patients. WT1 as a Therapeutic Target a) Chemical Inhibitors Agents like 17-AAG (Hsp90 inhibitor), TMPyP4 (G-quadruplex stabilizer), and daunorubicin reduce WT1 expression. These agents inhibit tumor growth and increase chemosensitivity in WT1-overexpressing malignancies. b) Natural Products Compounds such as bufalin, shikonin, aloin, curcumin, and resveratrol suppress WT1 expression and modulate apoptosis pathways. Marine-derived molecules also show potential in WT1 inhibition. c) Kinase Modulators GSK3\u03b2 affects WT1 stability and degradation. Dasatinib is proposed as a modulator to reduce cytokine release syndrome in combination therapies. Immunotherapy Strategies Peptide Vaccines: WT1-derived peptides induce T-cell and humoral responses; trials show tolerability and clinical activity in AML and glioblastoma. Dendritic Cell Vaccines: Boost CD8+ T-cell responses; combination with chemotherapy improves remission rates. Bispecific Antibodies: T-cell engaging antibodies (e.g., ESK1-BiTE) target WT1 in HLA-A*02:01 context. TCR Gene Therapy: Autologous T cells engineered to express WT1-specific TCRs show persistence and safety in early-phase trials. Conclusion and Future Prospects WT1 is a compelling, dual-role protein in cancer biology. It functions as a context-dependent oncogene or tumor suppressor, modulating multiple pathways in both hematologic and solid tumors. Its overexpression correlates with treatment resistance and poor prognosis. Targeting WT1 is now a key area of translational research, with therapeutic strategies spanning small molecules, natural products, and immunotherapies. Though many approaches remain in preclinical or early clinical stages, the diversity of mechanisms through which WT1 drives cancer supports its status as a pan-cancer therapeutic target. &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"http:\/\/echonews.fr\/?page_id=5517\"> <span class=\"screen-reader-text\">Urologie-cours<\/span> Lire la suite\u00a0\u00bb<\/a><\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Urologie-cours -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/echonews.fr\/?page_id=5517\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Urologie-cours -\" \/>\n<meta property=\"og:description\" content=\"Demo Demo From Bibliography to Educational Materials In the evolving landscape of education, artificial intelligence offers a transformative opportunity for teachers and students alike. This demo aims to illustrate how, by leveraging the capabilities of today&#8217;s leading AI technologies, it is possible to generate a wide array of high-quality educational resources around a single subject. The introduction of AI has multiplied the teacher\u2019s capacity for content creation by a factor still difficult to measure. It dramatically enhances not only the number of materials produced but also their quality and variety. By using AI tools, educators can now design courses, synthesize complex bibliographies, create detailed lecture slides, develop case studies, formulate quizzes, and offer personalized learning aids\u2014at a speed and depth never before imaginable. Our ambition is to show how these tools can support both the teacher and the student: assisting educators in the efficient conception and realization of their courses, and providing students with richer, more diverse materials to facilitate a deeper understanding and assimilation of the subject matter. Ultimately, rather than replacing the teacher\u2019s voice, AI stands as a powerful ally\u2014enabling educators to spend more time focusing on pedagogical strategy, personal mentorship, and the transmission of clinical wisdom that remains irreplaceable. Wilms Tumor:&nbsp;From Biology to Personalized Therapeutics Wilms Tumor: From Biology to Personalized Therapeutics Dr Anne Dupont Hm-envelop Linkedin X-twitter Dr Margaret Smith Hm-envelop Linkedin Dr Fran\u00e7ois durand Hm-envelop Youtube Linkedin Bibliography Multifaceted Functions of the Wilms Tumor 1 Protein: From Its Expression in Various Malignancies to Targeted Therapy \/ Qing Nian, Yan Lin, Jinhao Zeng, Yanna Zhang, Rongxing Liu Translational Oncology, Volume 52, 2025, Article 102237 https:\/\/doi.org\/10.1016\/j.tranon.2024.102237 Overview of WT1: Biology and Structure WT1 (Wilms Tumor 1) is a zinc finger transcription factor encoded on chromosome 11p13, originally described as a tumor suppressor in pediatric nephroblastoma. However, its function is far more complex: depending on the cellular context, WT1 can act as an oncogene or a tumor suppressor. It regulates gene transcription, cellular differentiation, and organogenesis during development, and maintains homeostasis in adult tissues. WT1 produces multiple isoforms (+KTS, \u2013KTS) through alternative splicing, each playing distinct roles in gene expression and tumor biology. Its expression is typically restricted to embryonic and select adult tissues like kidney podocytes, but is aberrantly upregulated in a wide array of cancers. Hematologic Malignancies and WT1 a) Acute Myeloid Leukemia (AML) WT1 is mutated in ~15% of AML patients and often co-mutated with FLT3-ITD or NPM1. These mutations influence the Wnt\/\u03b2-catenin, TET2, and MEG3 pathways, promote leukemogenesis, and impact response to chemotherapy. WT1 overexpression enhances stemness, self-renewal, and resistance to apoptosis. b) Myelodysplastic Syndromes (MDS) WT1 is overexpressed in ~50% of MDS patients. It is associated with poor prognosis and disease progression. WT1 interacts synergistically with FLT3 mutations, contributing to transformation to AML. c) T-cell Acute Lymphoblastic Leukemia (T-ALL) WT1 mutations (~10% of T-ALL cases) activate the IL7R-JAK-STAT pathway and impair TP53-mediated DNA damage response. Co-occurrence with NOTCH1\/FBXW7\/FLT3 mutations suggests an oncogenic synergy. d) Chronic Myeloid Leukemia (CML) WT1 expression is increased in advanced CML via BCR-ABL1 activation. It contributes to resistance against tyrosine kinase inhibitors like imatinib by interfering with apoptosis and gene regulation through the WT1\/ZNF224\/c-Myc axis. e) Acute Promyelocytic Leukemia (APL) WT1 interacts with the PML-RARA fusion protein, altering differentiation. Noncoding mutations in WT1 may also contribute to leukemogenesis. WT1 in Solid Tumors a) Lung Cancer WT1 promotes VEGF isoform expression and angiogenesis. It may serve as a target to reverse resistance to EGFR inhibitors in non-small-cell lung cancer (NSCLC). b) Breast Cancer WT1 isoforms have distinct roles in ER-positive and triple-negative breast cancer. They affect ER\u03b1 signaling, promote EMT and metastasis, and may predict resistance to hormone therapy. WT1-targeted vaccines in combination with endocrine therapy show promising early results. c) Neuroblastoma In neuroblastoma, WT1 often functions as a tumor suppressor. It promotes differentiation through inhibition of PI3K\/Akt and MAPK\/ERK pathways. However, high WT1 is paradoxically associated with poor prognosis in non-MYCN-amplified tumors. d) Prostate Cancer WT1 downregulates E-cadherin, facilitating migration and metastasis. It also modulates VEGF transcription and androgen receptor activity, influencing hormone resistance. e) Hepatocellular and Pancreatic Cancer WT1 influences Wnt\/\u03b2-catenin, JAK2\/STAT3, and NF-\u03baB pathways. It promotes tumorigenesis, invasion, and modulates immune escape mechanisms. In pancreatic ductal adenocarcinoma, it interacts with STAT3 and miR-216a\/KRT7, facilitating metastasis. f) Ovarian Cancer WT1 is highly expressed in serous subtypes and promotes EMT via ERK1\/2 and E-calmodulin pathways. It is involved in mesenchymal\u2013epithelial transitions (MET) and cancer stem cell formation through interaction with EZH2. g) Astrocytomas\/Glioblastoma WT1 contributes to glioblastoma aggressiveness and poor prognosis. Its inhibition enhances radiosensitivity, and WT1 vaccines elicit cytotoxic immune responses in glioma patients. WT1 as a Therapeutic Target a) Chemical Inhibitors Agents like 17-AAG (Hsp90 inhibitor), TMPyP4 (G-quadruplex stabilizer), and daunorubicin reduce WT1 expression. These agents inhibit tumor growth and increase chemosensitivity in WT1-overexpressing malignancies. b) Natural Products Compounds such as bufalin, shikonin, aloin, curcumin, and resveratrol suppress WT1 expression and modulate apoptosis pathways. Marine-derived molecules also show potential in WT1 inhibition. c) Kinase Modulators GSK3\u03b2 affects WT1 stability and degradation. Dasatinib is proposed as a modulator to reduce cytokine release syndrome in combination therapies. Immunotherapy Strategies Peptide Vaccines: WT1-derived peptides induce T-cell and humoral responses; trials show tolerability and clinical activity in AML and glioblastoma. Dendritic Cell Vaccines: Boost CD8+ T-cell responses; combination with chemotherapy improves remission rates. Bispecific Antibodies: T-cell engaging antibodies (e.g., ESK1-BiTE) target WT1 in HLA-A*02:01 context. TCR Gene Therapy: Autologous T cells engineered to express WT1-specific TCRs show persistence and safety in early-phase trials. Conclusion and Future Prospects WT1 is a compelling, dual-role protein in cancer biology. It functions as a context-dependent oncogene or tumor suppressor, modulating multiple pathways in both hematologic and solid tumors. Its overexpression correlates with treatment resistance and poor prognosis. Targeting WT1 is now a key area of translational research, with therapeutic strategies spanning small molecules, natural products, and immunotherapies. Though many approaches remain in preclinical or early clinical stages, the diversity of mechanisms through which WT1 drives cancer supports its status as a pan-cancer therapeutic target. &hellip; Urologie-cours Lire la suite\u00a0\u00bb\" \/>\n<meta property=\"og:url\" content=\"https:\/\/echonews.fr\/?page_id=5517\" \/>\n<meta property=\"article:modified_time\" content=\"2025-05-03T13:47:38+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"48 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/echonews.fr\/?page_id=5517\",\"url\":\"https:\/\/echonews.fr\/?page_id=5517\",\"name\":\"Urologie-cours -\",\"isPartOf\":{\"@id\":\"http:\/\/echonews.fr\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/echonews.fr\/?page_id=5517#primaryimage\"},\"image\":{\"@id\":\"https:\/\/echonews.fr\/?page_id=5517#primaryimage\"},\"thumbnailUrl\":\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg\",\"datePublished\":\"2025-04-30T07:44:55+00:00\",\"dateModified\":\"2025-05-03T13:47:38+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/echonews.fr\/?page_id=5517#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/echonews.fr\/?page_id=5517\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/echonews.fr\/?page_id=5517#primaryimage\",\"url\":\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg\",\"contentUrl\":\"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/echonews.fr\/?page_id=5517#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"http:\/\/echonews.fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Urologie-cours\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/echonews.fr\/#website\",\"url\":\"http:\/\/echonews.fr\/\",\"name\":\"\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/echonews.fr\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Urologie-cours -","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/echonews.fr\/?page_id=5517","og_locale":"fr_FR","og_type":"article","og_title":"Urologie-cours -","og_description":"Demo Demo From Bibliography to Educational Materials In the evolving landscape of education, artificial intelligence offers a transformative opportunity for teachers and students alike. This demo aims to illustrate how, by leveraging the capabilities of today&#8217;s leading AI technologies, it is possible to generate a wide array of high-quality educational resources around a single subject. The introduction of AI has multiplied the teacher\u2019s capacity for content creation by a factor still difficult to measure. It dramatically enhances not only the number of materials produced but also their quality and variety. By using AI tools, educators can now design courses, synthesize complex bibliographies, create detailed lecture slides, develop case studies, formulate quizzes, and offer personalized learning aids\u2014at a speed and depth never before imaginable. Our ambition is to show how these tools can support both the teacher and the student: assisting educators in the efficient conception and realization of their courses, and providing students with richer, more diverse materials to facilitate a deeper understanding and assimilation of the subject matter. Ultimately, rather than replacing the teacher\u2019s voice, AI stands as a powerful ally\u2014enabling educators to spend more time focusing on pedagogical strategy, personal mentorship, and the transmission of clinical wisdom that remains irreplaceable. Wilms Tumor:&nbsp;From Biology to Personalized Therapeutics Wilms Tumor: From Biology to Personalized Therapeutics Dr Anne Dupont Hm-envelop Linkedin X-twitter Dr Margaret Smith Hm-envelop Linkedin Dr Fran\u00e7ois durand Hm-envelop Youtube Linkedin Bibliography Multifaceted Functions of the Wilms Tumor 1 Protein: From Its Expression in Various Malignancies to Targeted Therapy \/ Qing Nian, Yan Lin, Jinhao Zeng, Yanna Zhang, Rongxing Liu Translational Oncology, Volume 52, 2025, Article 102237 https:\/\/doi.org\/10.1016\/j.tranon.2024.102237 Overview of WT1: Biology and Structure WT1 (Wilms Tumor 1) is a zinc finger transcription factor encoded on chromosome 11p13, originally described as a tumor suppressor in pediatric nephroblastoma. However, its function is far more complex: depending on the cellular context, WT1 can act as an oncogene or a tumor suppressor. It regulates gene transcription, cellular differentiation, and organogenesis during development, and maintains homeostasis in adult tissues. WT1 produces multiple isoforms (+KTS, \u2013KTS) through alternative splicing, each playing distinct roles in gene expression and tumor biology. Its expression is typically restricted to embryonic and select adult tissues like kidney podocytes, but is aberrantly upregulated in a wide array of cancers. Hematologic Malignancies and WT1 a) Acute Myeloid Leukemia (AML) WT1 is mutated in ~15% of AML patients and often co-mutated with FLT3-ITD or NPM1. These mutations influence the Wnt\/\u03b2-catenin, TET2, and MEG3 pathways, promote leukemogenesis, and impact response to chemotherapy. WT1 overexpression enhances stemness, self-renewal, and resistance to apoptosis. b) Myelodysplastic Syndromes (MDS) WT1 is overexpressed in ~50% of MDS patients. It is associated with poor prognosis and disease progression. WT1 interacts synergistically with FLT3 mutations, contributing to transformation to AML. c) T-cell Acute Lymphoblastic Leukemia (T-ALL) WT1 mutations (~10% of T-ALL cases) activate the IL7R-JAK-STAT pathway and impair TP53-mediated DNA damage response. Co-occurrence with NOTCH1\/FBXW7\/FLT3 mutations suggests an oncogenic synergy. d) Chronic Myeloid Leukemia (CML) WT1 expression is increased in advanced CML via BCR-ABL1 activation. It contributes to resistance against tyrosine kinase inhibitors like imatinib by interfering with apoptosis and gene regulation through the WT1\/ZNF224\/c-Myc axis. e) Acute Promyelocytic Leukemia (APL) WT1 interacts with the PML-RARA fusion protein, altering differentiation. Noncoding mutations in WT1 may also contribute to leukemogenesis. WT1 in Solid Tumors a) Lung Cancer WT1 promotes VEGF isoform expression and angiogenesis. It may serve as a target to reverse resistance to EGFR inhibitors in non-small-cell lung cancer (NSCLC). b) Breast Cancer WT1 isoforms have distinct roles in ER-positive and triple-negative breast cancer. They affect ER\u03b1 signaling, promote EMT and metastasis, and may predict resistance to hormone therapy. WT1-targeted vaccines in combination with endocrine therapy show promising early results. c) Neuroblastoma In neuroblastoma, WT1 often functions as a tumor suppressor. It promotes differentiation through inhibition of PI3K\/Akt and MAPK\/ERK pathways. However, high WT1 is paradoxically associated with poor prognosis in non-MYCN-amplified tumors. d) Prostate Cancer WT1 downregulates E-cadherin, facilitating migration and metastasis. It also modulates VEGF transcription and androgen receptor activity, influencing hormone resistance. e) Hepatocellular and Pancreatic Cancer WT1 influences Wnt\/\u03b2-catenin, JAK2\/STAT3, and NF-\u03baB pathways. It promotes tumorigenesis, invasion, and modulates immune escape mechanisms. In pancreatic ductal adenocarcinoma, it interacts with STAT3 and miR-216a\/KRT7, facilitating metastasis. f) Ovarian Cancer WT1 is highly expressed in serous subtypes and promotes EMT via ERK1\/2 and E-calmodulin pathways. It is involved in mesenchymal\u2013epithelial transitions (MET) and cancer stem cell formation through interaction with EZH2. g) Astrocytomas\/Glioblastoma WT1 contributes to glioblastoma aggressiveness and poor prognosis. Its inhibition enhances radiosensitivity, and WT1 vaccines elicit cytotoxic immune responses in glioma patients. WT1 as a Therapeutic Target a) Chemical Inhibitors Agents like 17-AAG (Hsp90 inhibitor), TMPyP4 (G-quadruplex stabilizer), and daunorubicin reduce WT1 expression. These agents inhibit tumor growth and increase chemosensitivity in WT1-overexpressing malignancies. b) Natural Products Compounds such as bufalin, shikonin, aloin, curcumin, and resveratrol suppress WT1 expression and modulate apoptosis pathways. Marine-derived molecules also show potential in WT1 inhibition. c) Kinase Modulators GSK3\u03b2 affects WT1 stability and degradation. Dasatinib is proposed as a modulator to reduce cytokine release syndrome in combination therapies. Immunotherapy Strategies Peptide Vaccines: WT1-derived peptides induce T-cell and humoral responses; trials show tolerability and clinical activity in AML and glioblastoma. Dendritic Cell Vaccines: Boost CD8+ T-cell responses; combination with chemotherapy improves remission rates. Bispecific Antibodies: T-cell engaging antibodies (e.g., ESK1-BiTE) target WT1 in HLA-A*02:01 context. TCR Gene Therapy: Autologous T cells engineered to express WT1-specific TCRs show persistence and safety in early-phase trials. Conclusion and Future Prospects WT1 is a compelling, dual-role protein in cancer biology. It functions as a context-dependent oncogene or tumor suppressor, modulating multiple pathways in both hematologic and solid tumors. Its overexpression correlates with treatment resistance and poor prognosis. Targeting WT1 is now a key area of translational research, with therapeutic strategies spanning small molecules, natural products, and immunotherapies. Though many approaches remain in preclinical or early clinical stages, the diversity of mechanisms through which WT1 drives cancer supports its status as a pan-cancer therapeutic target. &hellip; Urologie-cours Lire la suite\u00a0\u00bb","og_url":"https:\/\/echonews.fr\/?page_id=5517","article_modified_time":"2025-05-03T13:47:38+00:00","og_image":[{"url":"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg","type":"","width":"","height":""}],"twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"48 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/echonews.fr\/?page_id=5517","url":"https:\/\/echonews.fr\/?page_id=5517","name":"Urologie-cours -","isPartOf":{"@id":"http:\/\/echonews.fr\/#website"},"primaryImageOfPage":{"@id":"https:\/\/echonews.fr\/?page_id=5517#primaryimage"},"image":{"@id":"https:\/\/echonews.fr\/?page_id=5517#primaryimage"},"thumbnailUrl":"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg","datePublished":"2025-04-30T07:44:55+00:00","dateModified":"2025-05-03T13:47:38+00:00","breadcrumb":{"@id":"https:\/\/echonews.fr\/?page_id=5517#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/echonews.fr\/?page_id=5517"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/echonews.fr\/?page_id=5517#primaryimage","url":"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg","contentUrl":"http:\/\/echonews.fr\/wp-content\/uploads\/2025\/04\/bandeau-urV3.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/echonews.fr\/?page_id=5517#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"http:\/\/echonews.fr\/"},{"@type":"ListItem","position":2,"name":"Urologie-cours"}]},{"@type":"WebSite","@id":"http:\/\/echonews.fr\/#website","url":"http:\/\/echonews.fr\/","name":"","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/echonews.fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"_links":{"self":[{"href":"http:\/\/echonews.fr\/index.php?rest_route=\/wp\/v2\/pages\/5517"}],"collection":[{"href":"http:\/\/echonews.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/echonews.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/echonews.fr\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/echonews.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5517"}],"version-history":[{"count":0,"href":"http:\/\/echonews.fr\/index.php?rest_route=\/wp\/v2\/pages\/5517\/revisions"}],"wp:attachment":[{"href":"http:\/\/echonews.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5517"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}