3: Haematology - Wilm's Tumour Flashcards

1
Q

What is wilm’s tumour also referred to as

A

Nephoblastoma

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2
Q

What is wilm’s tumour

A

Malignancy of the kidney that occurs during childhood

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3
Q

What age children does Wilms tumour affect

A

Under 5’s

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4
Q

What is the peak incidence of Wilm’s tumour

A

3-years

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5
Q

What gives a genetic predisposition to Wilm’s tumour

A

Mutation in WT1

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6
Q

What 3 syndromes is wilm’s tumour associated with

A
  • WAGR
  • Denny-Drash
  • Beckwith wiedeman syndrome
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7
Q

What causes WAGR syndrome

A

Deletion of WT1

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8
Q

Where is WT1 located

A

Chromosome 11

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9
Q

What is WAGR syndrome

A

Wilms tumour

Anirida

GU anomalies

mental Retardation

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10
Q

What is aniridia

A

Absent iris

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11
Q

what GU anomalies can be present in WAGR

A
  • Undescended testes

- Pseudohermaphroditism

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12
Q

What is denny-drash syndrome

A

Mutation in WT1

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13
Q

How does denny drash syndrome present

A
  • Wilms tumour

- Pseudohermaphroditism or undescended testes

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14
Q

What causes beckwith wiedemann syndrome

A

Mutation in WT2

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15
Q

What are two features of beckwith weidermann syndrome

A

Organomegaly

Infantile hypoglycaemia

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16
Q

What is the triad of Wilm’s tumour

A
  1. Unilateral non-tender abdominal mass
  2. Frank haematuria
  3. Flank pain
17
Q

Explain investigation of Wilm’s tumour

A

Any child with unexplained non-tender abdominal mass should be referred to paediatrics in 48h for AUS

18
Q

How is Wilm’s tumour managed

A

Nephrectomy

Chemoradiotherapy