Ljubav na djelu | 2014-08-21 |
Nephroblastoma - kidney tumors
Nephroblastoma is the most common urogenital tumor of childhood, and of all malignancies located on the third place, just behind the tumors of the central nervous system (CNS) and neuroblastoma. The most commonly diagnosed between the first and fourth year of life. Today's modern diagnostic ultrasound (ultrasound), computed tomography (CT) and magnetic resonance imaging (MRI) allows reliable diagnosis and the possibility of correct choice of treatment.
The clinical picture of nephroblastoma is nonspecific, the majority of children with Wilms' tumor is an incidental finding asymptomatic abdominal mass, which usually reveals a parent of a child in care.
Symptoms are sudden and intense pain like acute abdomen, caused by bleeding into the tumor. Other symptoms are non-specific, such as general weakness, poor appetite and fever.
It also increased the stomach (eg, sudden change in scope), abdominal pain, fever, poor appetite, nausea and vomiting. There is blood in the urine (hematuria) in 15% - 20% of children. Wilms tumor may be the reason for high blood pressure. This tumor can spread to other parts of the body, especially the lungs, causing coughing and difficulty with breathing . Doctor is able to feel for the formation of (mass) in the child's stomach. If the doctor suspects Wilimsov tumor, a review of TO, CT or MRI can determine the nature and extent of the formation.
If the doctor thinks the cancer can be eliminated, it should do the surgery as soon as possible after diagnosis. During the operation, it should examine other possible circumstance in kidney tumor development in it. In approximately 4% of nephroblastoma simultaneously affects both kidneys.
The child will receive and cytostatics (drugs neoplasm) to destroy possibly remaining cancer cells. For this purpose, can be applied to radiotherapy. There have been more than 80% cure rate.