Case Report on Wilm’s Tumor in Children
Saurabh Borkar *
Smt. Radhikabai Meghe memorial College of Nursing, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
Archana Maurya
Department of Child Health Nursing, Smt. Radhikabai Meghe Memorial College of Nursing, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (Meghe), Wardha, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: 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% of cases occurring before the child reaches the age of five. A variant term for wilms tumor 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: 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%.
Conclusion: A female child of 11 years from admitted to pediatric ward no .22, Acharya Vinoba Bhave rural hospital Sawangi ( Meghe) wardha on 28/9/2020 with a rare case of Wilms tumor. She is 30kg and his height is 142cm. She was admitted to the hospital, where all investigations and treatments began. She improved dramatically after therapy and continued to do so until my last day of care.
Keywords: Wilms tumor, nephroblastoma, children