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WILMS TUMOR

(Nephroblastoma)
Etiology: Unknown

Precipitating Factors

Predisposing Factors

Exposure to cigarette smoke


(second hand smoke)

Gender: Male
Age: 1 year old and 10
months
Familial History of Cancer

Cellular aberration
Tumor growth in the renal cortex
Compresses the adjacent renal
parenchyma rather than infiltrate it
Surround blood vessels and constrict them
Metastasize to lungs, mediastinum, liver
bone, skin spleen, renal vein and brain
vs. Neuroblastoma
Clinical Manifestations
Hematuria, flank pain, palpable abdominal
mass, fever, weight loss, cachexia, fatigue
Diagnostic Exams
CT Scan, Radioisotope studies

Confirmation Test
24 hour urine VMA Test

Medical Management
Chemotherapy

Nursing Management
Administering chemotherapy under
the physicians supervision
Monitoring the pediatric patient
Developing the plan of care for the
pediatric cancer patient
Explaining the treatment plan to the
pediatric cancer patients family
Assessing the physical and
psychological needs of both the
patient and the family