Abstract

Wilms tumor is the most frequent kind of kidney cancer in kids. It is responsible for around 6% of all tumors in children. In children under the age of 15, the incidence is 7.6 cases per million, with 75 percent of cases occurring before the child reaches the age of five. A variant term is nephroblastoma. It is most widespread between the ages of three and four, after which it becomes much less frequent. Clinical findings: Wilms tumor in children produces one or more of the following signs and symptoms: abdominal pain, increasing abdominal girth, lack of appetite, fever, blood in the urine, nausea or vomiting, constipation, shortness of breath. Diagnostic evaluation: Increase abdominal girth, pain, fever,vomiting, cried at the time of urination, hematuria, black stool, pallor, hypertension, and moderate microcytic anemia (iron deficiency). Ultrasonography: Showed splenomegaly. Therapeutic investigation: X-ray of abdomen and chest, IVP, USG, MRI, CT scan, renal function test and urine analysis, liver function test, bone marrow study, and histology. Outcome: After treatment, the child shows great improvement, his fever, abdominal pain, blood in urine is minimized, and his Hb level is increased from 9gm% to 11.1gm%.

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