WILMS TUMOR (NEPHROBLASTOMA)

Question 1

is a malignant tumor that rises from the metanephric mesoderm cells of the upper pole of the kidney.

Answer 1

Nephroblastoma

Question 2

Nephroblastoma is usually discovered early in life

Answer 2

6 months to 5 years; peak at 3 to 4 years

Question 3

Nephroblastoma distort the kidney anteriorly, the tumor will feel as

Answer 3

a firm, nontender abdominal mass

Question 4

A _______ reveals the primary tumor and any points of metastasis.

Answer 4

CT scan or ultrasound

Question 5

The nephroblastoma tumor will be removed by

Answer 5

nephrectomy

Question 6

excision of the affected kidney

Answer 6

nephrectomy

Question 7

Nephrectomy is followed immediately by

Answer 7

chemotherapy with
*dactinomycin or doxorubicin
*vincristine
*cyclophosphamide
*etoposide

Question 8

Chemotherapy may be given at varying intervals for as long as

Answer 8

15 months.

Question 9

in females, radiation-related damage to the ovaries may result in

Answer 9

sterility

Question 10

radiation to the lungs may result in

Answer 10

interstitial pneumonia

Question 11

Because tumors can hemorrhage into themselves, doubling their size in a matter of hours. If this happens, accompanying signs may be

Answer 11

*hematuria
*low-grade fever