FAQ - wilms tumor
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wilms tumor ?


If a pregnant woman found out that the child inside of her womb has wilms' tumor, what treatment will the doctor give her?
thank you for your help but i already researched through 6 websites. and i want to know if a PREGNANT WOMAN can receive treatment for her child that is yet to be born.
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I did some fast research for you, and I found appropriate information which could help you. Best of Luck. Feel free to continue your research on the following website provided for you under sources. :)


Treatment

In the United States, treatment for Wilms' tumor almost always begins with surgery to remove or decrease the size of the kidney tumor. Except in patients who have tumors in both kidneys, this surgery usually will require complete removal of the affected kidney. During surgery, the surrounding lymph nodes, the area around the kidneys, and the entire abdomen will also be examined. While the tumor can spread to these surrounding areas, it is less likely to do so compared to other types of cancer. In cases where the tumor affects both kidneys, surgeons will try to preserve the kidney with the smaller tumor by removing only a portion of the kidney, if possible. Additional biopsies of these areas may be done to see if the cancer has spread. The next treatment steps depend on whether/where the cancer has spread. Samples of the tumor are also examined under a microscope to determine particular characteristics of the cells making up the tumor.

Information about the tumor cell type and the spread of the tumor is used to decide the best kind of treatment for a particular patient. Treatment is usually a combination of surgery, medications used to kill cancer cells (chemotherapy), and x rays or other high-energy rays used to kill cancer cells (radiation therapy). These therapies are called adjuvant therapies, and this type of combination therapy has been shown to substantially improve outcome in patients with Wilms' tumor. It has long been known that Wilms' tumors respond to radiation therapy. Likewise, some types of chemotherapy have been found to be effective in treating Wilms' tumor. These effective drugs include dactinomycin, doxorubicin, vincristine, and cyclophosphamide. In rare cases, bone marrow transplantation may be used.

The National Wilms' Tumor Study Group (NWTSG) has developed a staging system to describe Wilms' tumors. All of the stages assume that surgical removal of the tumor has occurred. Stage I involves "favorable" Wilms' tumor cells and is usually treated successfully with combination chemotherapy involving dactinomycin and vincristine and without abdominal radiation therapy. Stage II tumors involving a favorable histology (cell characteristics) are usually treated with the same therapy as Stage I. Stage III tumors with favorable histology are usually treated with a combination chemotherapy with doxorubicin, dactinomycin, and vincristine along with radiation therapy to the abdomen. Stage IV disease with a favorable histology is generally treated with combination chemotherapy with dactinomycin, doxorubicin, and vincristine. These patients usually receive abdominal radiation therapy and lung radiation therapy if the tumor has spread to the lungs.

In the case of Stage II through IV tumors with unfavorable, or anaplastic, cells, then the previously-mentioned combination chemotherapy is used along with the drug cyclophosphamide. These patients also receive lung radiation therapy if the tumor has spread to the lungs. Another type of tumor cell can be present in Stages I through IV. This cell type is called clear cell sarcoma of the kidney. If this type of cell is present, then patients receive combination therapy with vincristine, doxorubicin, and dactinomycin. All of these patients receive abdominal radiation therapy and lung radiation therapy if the tumor has spread to the lungs.

As of 2004, there are significant differences between the treatment protocols of the NWTSG and its European counterpart, the Société Internationale d'Oncologie Pédiatrique (SIOP). Whereas American practice favors surgery followed by chemotherapy, European oncologists use preoperative chemotherapy and stage the tumor at the time of surgery rather than at the point of initial imaging studies.

Prognosis

The prognosis for patients with Wilms' tumor is quite good, compared to the prognosis for most types of cancer. One German study reported the overall five-year survival rate to be 89.5%. The patients who have the best prognosis are usually those who have a small-sized tumor, a favorable cell type, are young (especially under two years old), and have an early stage of cancer that has not spread. Modern treatments have been especially effective in the treatment of this cancer. Patients with the favorable type of cell have a long-term survival rate of 93%, whereas those with anaplasia have a long-term survival rate of 43% and those with the sarcoma form have a survival rate of 36%.



EDIT: i'm sorry I provided you w\ something you weren't looking for, but to be honest, I don't think anything can be done until the baby is born.  (+ info)

What was the survival rate for Wilms Tumor before/ around 1960's?


I have to do a speech and that's the only cancer I wasn't able to locate.
Thanks all.
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From http://emedicine.medscape.com/article/453076-overview

"Fifty years ago, with surgery alone, the survival rate 2 years after nephrectomy was 20%. The introduction of adjuvant radiation raised the survival rate to 50% overall. Due to the cooperative efforts of oncologists, surgeons, and pathologists and with the introduction of chemotherapy with vincristine, dactinomycin (actinomycin D), and doxorubicin, the overall survival (OS) rate has risen to 90% in the last 30 years."  (+ info)

Wilms tumor searching for a cure?


I have a 7 year old that has had Wilms tumor. He had surgery to remove it and radation plus Chemo. The other day he had a Cat Scan and it has re grown. What is there to do next? What is there to do next?
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I am very sorry for your situation, but you are not alone in searching for a cure. Usually in this situation chemo is restarted. Your only other option is to look into clinical trials. I have included a link for you. Best wishes.

http://www.clinicaltrials.gov/  (+ info)

I had wilms tumor as a child, can i still have babies and get pregnant?


Im hoping ill find someone who has had it before and still grew up to have kids, but either way i just want to know. I had wilms tumor when i was very young and i had chemotherapy and radiation. The doctors have said they dont know whether ill be able to have kids now or not...i really want to be able to! Does anyone know how likely it is that i can or cant? Thanks
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You can be tested. Contact the folks at Fertile Hope who are non-profit support organization who can point you in the right direction for help:

Fertile Hope
http://www.fertilehope.org/  (+ info)

Dose any one have a child that has a wilms tumor?


My child has a wilms tumor and need to talk about it i have know one who understand how i feel and hurt
Hi my name is Moe and i am a mother of three children.My oldest child has a wilms tumor and she is four years old.I have been praying for her to get better thew this all.I have know one to understand how hard it was for me to see my child go thew this.Please i need some one to talk to.
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I don't have a child with a Wilm's tumour. However I can hopefully provide you with some information.

Start with the wiki page - it's pretty much easy to read. The Yale - New Haven Hospital page (YNHH) is pretty good too.

Then talk with your doctor and talk with your pastor.

God sends things that try our strength, but He gives strength to get through.

Synopsis:

Wilm's tumor is a cancer of the kidney. It is uncommon, but of childhood cancers (all of which are uncommon) it is the most common.

Like other cancers - it grows slowly and silently and can be difficult to spot early on. The chances of cure are best if it is detected early.

Treatment includes:
surgery - operation to take out the affected kidney
chemotherapy - giving cytotoxic (cell killing) medicines that can go all around the body and kill the cancer cells - but will often have some effect on the body and make the patient unwell too
radiotherapy - using highly focussed x-ray beam to kill the cancer cells.

In the early stages, surgery may be all that is needed.

In later stages with poorer outcome, the other modalities will be needed too.

Good 5 year survival for stage III (Excellent for stage I and II)  (+ info)

I would like to know how deadly is "Wilms Tumor" or anything else you can tell me about it?


Please if you know anything about that condition let me know... I really need to know.
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I work at a cancer hospital; and with the exposure I have there; a Wilm's prognosis really depends of the stage of the cancer; the patient's age; the location of the tumor and a number of other factors....
It is important to note that with any cancer; a stage I diagnosis is more easily treat-able than a stage II, III or IV. Although a stage IV is pretty serious; this does not mean by any chance that there is no hope for the patient. Here are some links to help you out...  (+ info)

What is wilms tumor survival rate?


I don't know which to choose XD
One has alot of information
but the other is simple and straight the point >_<
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Wilms tumors is a malignant neoplasm of the kidney, you probably already know that, It is located in the kidney occurring in young children, before they're 5 yrs old in 75% of cases. Prompt removal of tumors by what is called a transperitoneal nephrectomy (fancy words for going through the abdomen to the kidney and removing the kidney), is recommended. Radiotherapy is used preoperative or postoperative: (after surgery) I don't know if they still use cyclic chemotherapy with actinomycin-D and vincristine combined with surgery and irradiation has proven highly effective. Chemo drugs have come a long way and this was the drug of choice in the 80's and 90's. They may be doing something different. The most important thing is the removal of kidney and therapy. It breaks my heart when I hear of a child with this.
ADD xxx READ IT AGAIN. I said the success rate is very high.  (+ info)

If I have one kidney (from Wilms Tumor), can I legally compete in MMA or BJJ? (Maybe with a kidney guard?)?


I had wilms tumor when I was 6. Had a kidney removed after chemo. I am in full health now but want to begin practicing BJJ/MMA, will I be eventually (legally) able to compete?
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I am sorry to be off topic, and good luck with the wrestling stuff.. but that is great that you are doing well after a Wilm's tumor, I know they can be really aweful.   (+ info)

i was diagnosed with wilms tumor when i was 6 (now 20) and went through chemo will i be able to get pregnant?


i want to know for future reference if i will be able to get pregnant or not. ive heard stories that chemotherapy can make a woman infertile..
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Very easy way to find out- ask you doctor. Only person who would know.  (+ info)

what more life threatening: a brain tumor or a stomach tumor/Wilms' tumor?


how long can Wilms' tumor and a brain tumoer be in someone before they die
how long dose it take each tumor to grow
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Brain tumor because everytime you radiate and get swelling you lose some function sopmewhere because the swelling has nowhere to go, and it is incredibly painful and frustrating, the surgery is far far worse, I mean, they are cutting into your head, through the skull, with a saw *rrrrrrrrrrrrrrrrrrrrr*...that is horrible. And tumors are so very hard to hunt down and kill, andwhen you damage tissues there, you are frying memories and function, and communication skills, man, the worst....and you slowly die, almost always, slowly, painfully...die  (+ info)

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