Tumores Pedia Flashcards

1
Q

Edad d presentación más frec T. Wilms

A

2,4 años

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2
Q

Gen implicado en tumor de Wilms

A

WT1 en el 5% (11p13)

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3
Q

Sx Denys Drash

A

Nefroblastoma,pseudohermafroditismo,glomerulonefritis

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4
Q

Clínica tumor Wilms

A

masa abd palpable,dolor abd,HTA,hematuria MACRO, o micro, fiebre. otros son naúsea,vómito,estreñimiento,pierde apetito,diaforesis nocturna y varicocele

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5
Q

estudio dx de tumor de Wilms

A

TAC con 2 contraste

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6
Q

Cuabdo realizas biopsia transquirúrgica en tumor de Wilms

A

SOLO cuanso c considera IRRESECABLE

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7
Q

Tx Wilms

A

Quimio neoadyuvante Vincristina,ciclofosfamida,doxorrubicina,etopósido,isosfamida: en bilateral, invasión d órganos, trombo tumoral en vena cava superior arriba de venas suprahepáticas y alteración ventilatoria x mets a pulmón.
Quimio neoadyuvante y nefrectomía parcial
Enf bilateral,monorreno,ERC
Radioterapia
Contaminación peritoneal, hiatologia favorable 3,4 e histologia desfavorable 2,3,4

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