What Is Wilms Tumor?

Wilms tumor, also known as nephroblastoma, is a type of kidney cancer that occurs in children. It is the most common kidney cancer in children, usually diagnosed before the age of 5, and is extremely rare in adults.

Wilms tumor develops from immature kidney cells that fail to develop properly during fetal growth. It typically affects only one kidney, but in about 5% to 10% of cases, tumors can occur in both kidneys.

Most children with Wilms tumor are otherwise healthy, and the cause is usually not inherited. However, a small number of cases are associated with genetic syndromes or birth defects such as:

  • WAGR syndrome
  • Beckwith–Wiedemann syndrome
  • Denys–Drash syndrome

The most common symptom is a painless swelling or lump in the abdomen, often discovered by a parent or during a routine checkup. Other symptoms may include:

  • Abdominal pain
  • Blood in the urine
  • Fever
  • Nausea or poor appetite
  • High blood pressure

Diagnosis typically involves ultrasound, CT scans, and blood and urine tests. A biopsy may be done to confirm the diagnosis and determine the exact type of tumor.

Treatment for Wilms tumor usually involves a combination of surgery, chemotherapy, and sometimes radiation therapy, depending on the tumor’s stage and size. In many cases, the affected kidney is surgically removed.

The outlook for Wilms tumor is very good, especially when caught early. With modern treatment, more than 90% of children with Wilms tumor survive long term and go on to lead healthy lives.

Regular follow-up is important to monitor kidney function and detect any signs of recurrence or side effects from treatment.

Looking for more questions?

Visit our Kidney Cancer Questions page for all other topics explained in plain language.

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