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The medical team identified a persistent cough in the child and confirmed the diagnosis through chest imaging. The child received chemotherapy and radiotherapy with clinical improvement but without significant radiological response, unfortunately leading to a fatal outcome. This outcome highlights the need for action to improve childhood cancer care in Haiti. It will be challenging to improve pediatric oncology capacity, whether in terms of infrastructure, training, or access to treatment without a clear commitment from health authorities.<\/jats:p>","DOI":"10.1177\/2050313x251359397","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T13:07:41Z","timestamp":1753362461000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Late recurrence of Wilms tumor in a low-middle income country: A case report with fatal outcome from Haiti"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5705-1242","authenticated-orcid":false,"given":"Pascale Yola","family":"Gassant","sequence":"first","affiliation":[{"name":"H\u00f4pital Saint-Damien, Port-au-Prince, Ha\u00efti"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvania","family":"Alfonso","sequence":"additional","affiliation":[{"name":"H\u00f4pital Saint-Damien, Port-au-Prince, Ha\u00efti"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ren\u00e9e","family":"Alce","sequence":"additional","affiliation":[{"name":"H\u00f4pital Saint-Damien, Port-au-Prince, Ha\u00efti"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/cancers12113411"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPH.0000000000001473"},{"issue":"6","key":"e_1_3_3_4_2","article-title":"Successful treatment of late, recurrent Wilms tumor with high-dose chemotherapy and autologous stem cell rescue in a third complete response","volume":"32","author":"Evangeline B","year":"2010","unstructured":"Evangeline B, Andr\u00e9 H, Joseph J, et al. 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J Pediatr Hematol Oncol 2020; 36(6): e445\u2013e449.","journal-title":"J Pediatr Hematol Oncol"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30440-6"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30293-6"},{"issue":"34","key":"e_1_3_3_9_2","article-title":"Wilms tumor surveillance imaging","volume":"36","author":"Stirrups R","year":"2018","unstructured":"Stirrups R. Wilms tumor surveillance imaging. 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