WILMS’ TUMOR

 

 

Description

  • Most common form of childhood kidney cancer
  • Most often occurs in just one kidney
  • Also known as nephroblastoma

Symptoms

  • Constipation
  • Abdominal pain, swelling, or discomfort
  • Nausea and vomiting
  • Weakness and fatigue
  • Loss of appetite
  • Fever
  • Blood in their urine or discoloration of their urine
  • High blood pressure
  • Chest pain and shortness of breath
  • Malaise

Causes

  • Exact cause is unknown
  • It may be genetic
  • Missing iris of the eye (aniridia) is sometimes associated with it

Risk Factors

  • Black children have a slightly higher risk
  • Having family history
  • Beckwith-Wiedemann syndrome
  • WAGR syndrome
  • Denys-Drash syndrome
  • Frasier syndrome
  • Perlman syndrome
  • Sotos syndrome
  • Simpson-Golabi-Behmel syndrome
  • Bloom syndrome
  • Li-Fraumeni syndrome
  • Trisomy 18, also called Edward’s Syndrome

Diagnostic Tests

  • Physical examination
  • Blood tests
  • Abdominal ultrasound
  • Abdominal X-ray
  • CT Scan of the Abdomen
  • Intravenous pyelogram
  • Urinalysis

Treatment

  • Staging the tumor
  • Removing part of the affected kidney
  • Removing the affected kidney and surrounding tissue
  • Removing all or part of both kidneys
  • Chemotherapy
  • Radiation therapy
  • Clinical trials

Lifestyle Management

  • Social work services
  • Counseling
  • Support groups (online or in person)
  • Financial aid
  • Advice on nutrition and diet
  • Keep a daily record
  • Plan a normal diet
  • Encourage good oral hygiene