This is one of the most common childhood tumour, it affect the kidney, usually affects school going kids, one of the good prognostic tumour
What do you see – Presentation
Silent mass (painless), fever, hematuria (blood in the urine), distended abdomen.
When I see such patients, I find…..
Huge mass in the abdomen which is painless, relatively well preserved child.
Confirmation is by USG abdomen and CT scan, since it is malignancy (cancer of kidney) treatment has to be very early.
Usually laparatomy and removal of the tumour with kidney followed by chemotherapy and radiotherapy.
Follow Up care
The patient has to stay in the hospital for seven days with catheter in the urinary bladder. The stitches are dissolvable and need not require removal. The child can take food third day of surgery, can go to school after fifteen days, the child has to take chemotherapy for eighteen to twenty four weeks depends on the stage of the disease.
I have done more than two hundred willms’ tumour surgery with no major problems.