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What is WILM’S TUMOR?

Posted on October 23, 2014 | No Comments on What is WILM’S TUMOR?
WILM’S TUMOR is a tumor involving the kidneys.  Once diagnosed, a sign should be posted at the bedside “No abdominal palpation.”
Sign and Symptoms
  • Abdominal mass
  • Abdominal pain especially in older children
  • Late manifestations
    • weight loss and anemia
    • fever, a sign of tissue necrosis
    • hematuria, means poor prognosis
Management
Sequence depends on the stage of the disease at the time of diagnosis
  • If without metastasis
    • surgery (nephrectomy)
    • chemotherapy (actinomycin D; Vincristine)
    • ionizing radiationi (cobalt/deep x-ray for 24 exposure dys)
  • If with metastasis
    • radiation to both lung fields
    • chemotherapy (actinomycin)
    • surgery (thoracotomy)
Prognosis
  • The younger the patient, the better the outlook
  • No metastasis is better; but even with metastais, as long as it is not in the bones or the bone marrow, prognosis is still fair.
  • A two-year period free of the disese is considered a cure.

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