WILM TUMOR: PEDIATRIC LAPAROSCOPIC SURGERY
The kidney is an organ that cleanses the body and excretes waste in the urine. In addition to purifying blood, it also maintains electrolytes and fluids in the body. It's damage always results in many health problems. If your child is facing some problems in excretion like haematuria, recurrent urine infection with fever. It can be a renal tumor. A rare renal cancer that affects children is known as Wilma tumor. Medically known as nephroblastoma, it's rare but common in children. Early diagnosis and treatment give a good prognosis.
What your child will go through if he suffers Wilms tumor?
Usually, in starting days your child doesn't show any symptoms. Following two to three symptoms they may show.
- Abdominal mass.
- Swelling of the abdomen.
- Abdominal ache.
- Fever.
- Heamaturia.
- Nausea or vomiting or both.
- Constipation
- Anorexia
- Breathing difficulty.
- High blood pressure.
When to take an appointment with a doctor?
If your child shows any symptoms that worry. This condition is rare so symptoms may be due to any other reasons. To make it clear the diagnosis must be done early.
What causes Wilms tumor?
The real cause of Wilms's tumor is not known. Heredity may play an important role in Wilms's tumor.
The error in DNA causes cells to divide and grow rapidly. Thus, the accumulation of these cells forms a tumor. In Wilms tumor, it occurs in kidney cells.
How the diagnosis of Wilms tumor is made?
For diagnosis, your doctor may recommend your child to get,
- A physical examination - The doctor will physically palpate the abdomen to see symptoms.
- Blood and urine tests. These tests will show the function of the kidney. They don't make the proper diagnosis.
- Imaging tests. USG, CT scan, magnetic resonance( MRI) of the abdomen show the anatomical changes in the kidney. The doctor will see to the extent of the tumor.
What are the treatment option available for Wilms tumor?
When it comes to its treatment science is so developed now for cancer treatment that it is fully curable provided medical facility is sought on time. Usually, treatment for cancer involves surgery, chemotherapy, and radiation. In context with Wilms, tumor surgery plays a vital role in it. Let's see about the surgery,
SURGICAL MANAGEMENT-
Surgery is done to remove the whole kidney (nephrectomy) or a part of it. Surgery is also aid to diagnose the malignancy of tumors as tissue removed during surgery send to the lab for its a histopathological examination.
Laparoscopic nephrectomy is a very effective method to cure a diseased or cancerous kidney. Laparoscopic nephrectomy is a minimally invasive surgery, Laparoscopic nephrectomy is done under general anesthesia. Laparoscopes are a minimally invasive surgery device. This minimally invasive surgery is performed through a small incision made in the abdomen. A telescope and minimally invasive surgery instruments are inserted in the abdomen through incisions, which allow the surgeon to completely free and dissect the kidney with holding tissues with minimal invasive forceps. Then the kidney is removed. Minimal invasive surgery is easily healed and less painful.
Chemotherapy and radiation are also done to decrease the size of a tumor before surgery. Afterward, surgery is the main curative measures for Wilms tumor.
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