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Wilms tumor

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Overview

Wilms tumor, also known as nephroblastoma, is a rare kidney cancer that primarily affects children. It is the most common type of kidney cancer in children, and it is often diagnosed in children between the ages of 3 and 4. While Wilms tumor is more common in children, it can also occur in older children and even adults.

Types of Wilms tumor

There are several types of Wilms tumor, including:

  1. Favorable Histology Wilms Tumor: This type of Wilms tumor has a good prognosis and is typically treated with surgery and chemotherapy.
  2. Unfavorable Histology Wilms Tumor: This type of Wilms tumor has a poorer prognosis and may require more aggressive treatment.
  3.  Bilateral Wilms Tumor:** This type of Wilms tumor occurs in both kidneys simultaneously.

Causes of Wilms tumor

The exact cause of Wilms tumor is not fully understood, but it is believed to be related to genetic mutations and environmental factors. Some risk factors that may increase the likelihood of developing Wilms tumor include:

  1. Family History: A family history of Wilms tumor or other childhood cancers may increase the risk of developing the condition.
  2. Genetic Mutations: Certain genetic mutations, such as Beckwith-Wiedemann syndrome, may increase the risk of developing Wilms tumor.
  3. Environmental Factors: Exposure to certain environmental factors, such as pesticides and radiation, may increase the risk of developing Wilms tumor.

Risk Factors of Wilms tumor

The following factors may increase the risk of developing Wilms tumor:

  1. Age: Children under the age of 5 are most susceptible to developing Wilms tumor.
  2. Family History: A family history of Wilms tumor or other childhood cancers may increase the risk of developing the condition.
  3. Genetic Mutations: Certain genetic mutations, such as Beckwith-Wiedemann syndrome, may increase the risk of developing Wilms tumor.

Symptoms of Wilms tumor

The symptoms of Wilms tumor can vary depending on the location and size of the tumor. Some common symptoms include:
1. Abdominal Pain: Abdominal pain or discomfort may be a symptom of Wilms tumor.
2. Swelling: Swelling or enlargement of the abdomen may be a symptom of Wilms tumor.
3. Vomiting: Vomiting or nausea may be a symptom of Wilms tumor.
4. Fatigue: Fatigue or lethargy may be a symptom of Wilms tumor.

Preventions of Wilms tumor

There is no known way to prevent Wilms tumor, but early detection and treatment can significantly improve outcomes.

Complications:

Wilms tumor can lead to several complications, including:

  1. Spread to Other Organs: The tumor can spread to other organs in the body, such as the lungs or liver.
  2. Metastasis: The tumor can metastasize to other parts of the body, such as the bones or brain.
  3. Sequelae: Survivors of Wilms tumor may experience long-term sequelae, such as kidney damage or hearing loss.

Diagnosis of Wilms tumor

The diagnosis and evaluation of Wilms tumor involve several steps:

  1. Medical History: A medical history will be taken to determine if you have any symptoms or allergies related to food consumption.
  2. Physical Examination: A physical examination will be performed to check for any signs of an allergic reaction.
  3. Imaging Tests: Imaging tests such as CT scans or MRI scans may be performed to visualize the kidneys and detect any abnormalities.
  4. Biopsy: A biopsy may be performed to obtain a tissue sample from the affected kidney.

Treatment for Wilms tumor

The treatment and management of Wilms tumor involve several steps:

  1. Surgery: Surgery is typically used to remove the affected kidney.
  2. Chemotherapy: Chemotherapy is used to treat any remaining cancer cells.
  3. Radiation Therapy: Radiation therapy may be used to treat any remaining cancer cells.
  4. Follow-Up Care: Regular follow-up care is necessary to monitor for any signs of recurrence.

When to seek medical attention ?

If you suspect that your child may have Wilms tumor, it is essential to see a doctor for evaluation and treatment.

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