Tumor de Wilms Flashcards

1
Q

Tumor abdominal palpable, dolor abdominal, hipertensión, hematuria macro ó microscopica y fiebre

A

Tumor de wilms

Neoplasia trifásica (blastemal, estromal y epitelial)

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2
Q

Mutación de gen en el tumor de Wilms

A

WT1

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2
Q

Diagnóstico de elección

A

TAC abdominal con doble contraste

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3
Q

Característica histológica desfavorable

A

Anaplasia difusa

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4
Q

Tx en estadio I y II

A

Nefrectomía radical o total

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5
Q

Tx en enfermedad bilateral y en pacientes monorrenos

A

Quimioneoadyuvante + Nefrectomía radical

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6
Q

Tx en histología favorable en estadios III y IV

A

Radioterapia

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7
Q

Tx en histología desfavorable: II, III y IV

A

Radioterapia

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