WILMS TUMOR PROGNOSIS

forecast

All in all, the prognosis for nephroblastoma is with a cure rate of 75% pretty good. The Wilms tumor prognosis depends on the time of diagnosis or on Tumor involvement. A cure rate in stage 1 of 100% is very good. In stage 2, 80-90% of patients can be cured, and in stages 3 and 4, 50-60% can be cured.

The 5 year survival rate of all Wilms tumors together is 85%.

diagnosis

The Health survey is also at Wilms tumor first of all. How long the complaints have existed, what type of complaints have been expressed, whether familial cancer has already occurred, etc., can give the doctor initial information about the type of disease. The physical examination then usually points the way. The doctor can often do this tumor feel in the abdomen depending on size (palpate). Here he must examine very carefully, as there is a risk of injury (Rupture) important abdominal organs are present. Wilms tumors localized on both sides show very rapid growth within a few weeks. The midline of the abdomen is usually not exceeded. The blood test of the young patient indicates an inflammatory process. The Laboratory examination urine that looks normal to humans, the smallest blood components / blood prove (Microhematuria). This is present in 20% of the cases.

A Ultrasound examination can often provide an initial diagnosis, as the often massive tumor findings can be seen quite clearly in the image. A tumor may still have from Kidney cysts can be distinguished. As part of the ultrasound examination, the opposite side of the patient must also be examined and the renal vessels (Doppler) can be made. This is necessary to, among other things Find out if the tumor has already invaded a kidney vessel.

As X-ray examination would the i.v. Consider excretory urography, which shows the functional efficiency of the kidneys after intravenous administration of contrast medium and a subsequent x-ray and can make statements about whether there is a urinary stasis or whether it is possibly a so-called "silent" one kidney“Acts. This is the name given to kidneys that have mostly stopped working due to urinary congestion or have never started working since birth. A Magnetic resonance imaging (MRI) can provide information about how far the tumor has already expanded.

If the doctor comes to the diagnosis of a nephroblastoma, it is important to order examinations that provide information about whether the tumor has already metastasized somewhere in the body. To Diagnosis count here the x-ray of the Rib cage (Lung metastases) and skeletal scintigraphy (Skeletal metastases). A CT of the head could also provide information about the presence of brain metastases. However, this investigation is not primarily carried out. As another Differential diagnoses should benign fibromas, angiomyolipomas and mesoblastic nephromas or, as malignant tumors, renal cell carcinoma, Lymphoma, Rhabdomyosarcoma, etc. get noticed. Also a disease of the kidney, like hydronephrosis, policystic Kidney dysplasia and abscesses cannot be ignored.