How do you stage a Wilms tumor?

How many stages are there in Wilms tumor?

A Wilms tumor is staged based on the results of surgery, analysis of the tumor cells (see Diagnosis), and whether the cancer has spread. There are 5 stages: Stage I through V (1 through 5.) The stage provides a common way of describing the tumor, so doctors can work together to plan the best treatments.

How do you assess Wilms tumor?


  1. A physical exam. The doctor will look for possible signs of Wilms’ tumor.
  2. Blood and urine tests. These lab tests can’t detect Wilms’ tumor, but they can indicate how well the kidneys are working and uncover certain kidney problems or low blood counts.
  3. Imaging tests.

Which of the following describes Stage 2 of Wilms tumor?

Stage II. The tumor has grown beyond the kidney, either into nearby fatty tissue or into blood vessels in or near the kidney, but it was removed completely by surgery without any apparent cancer left behind.

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Is Stage 4 Wilms tumor bad?

Stage IV and V tumors with a favorable histology have a 4-year survival rate that ranges from 85% to 100%. Survival rates for tumors with a focal anaplastic histology are generally lower in each category and range from 70% to 100% survival rates.

What is the survival rate for Wilms tumor?

Survival rates for Wilms tumors

Wilms Tumor 4-year Survival Rates
Tumor Stage Favorable Histology Focal Anaplastic
I 95% – 100% 85% – 90%
II 95% – 100% 80% – 85%
III 95% – 100% 75% – 90%

How long can you live with Wilms tumor?

Approximately 80-90% of children with a diagnosis of Wilms tumor survive with current multimodality therapy. Patients who have tumors with favorable histology have an overall survival rate of at least 80% at 4 years after the initial diagnosis, even in patients with stage IV disease.

Do you palpate a Wilms tumor?

Physical examination of patients with Wilms tumor is usually remarkable for high blood pressure, fever, pallor, aniridia and a palpable abdominal mass.

What are the important intervention to take for a child with Wilms tumor?

Your child’s care plan also includes treatment for symptoms and side effects, an important part of cancer care. The main treatments for a Wilms tumor are surgery, chemotherapy, and radiation therapy. Treatment options and recommendations depend on several factors, including: The type, stage, and histology of the tumor.

When is Wilms tumor diagnosed?

It is typically diagnosed in children around age 3 and is rarely diagnosed in those who are older than 6 years of age. About 6 percent of all childhood cancers are Wilms tumors.

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Is Stage 3 Wilms tumor curable?

The overall cure rate is approximately 85%, with about 90% of Stage I, 99% of Stage II, 85% of Stage III, 66% of Stage IV, and 66% of unfavorable histology (UH) patients cured. Patients with initial Stage I or Stage II Wilms Tumor who relapse can still be cured using more intense chemotherapy.

How fast does a Wilms tumor grow?

Previous estimates of the growth rate of Wilms’ tumour have been made. The upper and lower estimates were 17–40 days. 3 Attempts at screening for Wilms’ tumour have suggested that cases are missed if the interval is longer than 3 months.

What are signs and symptoms of Wilms tumor?

But most children with Wilms’ tumor experience one or more of these signs and symptoms: An abdominal mass you can feel. Abdominal swelling. Abdominal pain.

Other signs and symptoms may include:

  • Fever.
  • Blood in the urine.
  • Nausea or vomiting or both.
  • Constipation.
  • Loss of appetite.
  • Shortness of breath.
  • High blood pressure.

What does Wilms tumor do to the body?

Some affected children have abdominal pain, fever, a low number of red blood cells (anemia ), blood in the urine (hematuria), or high blood pressure (hypertension). Additional signs of Wilms tumor can include loss of appetite, weight loss, nausea, vomiting, and tiredness (lethargy).

Which is the main difference between neuroblastoma and Wilms tumor?

neuroblastoma may invade the kidney; whereas, a Wilms tumor may display exo- phytic growth, calcification, or large lymph node metastases or may cross the midline.

Can Wilms tumor come back?

Most relapses (about 85%) occur within two years of diagnosis of the original Wilms’ tumour, but for some children it can come back later than this. For children who relapse, their treatment will depend on what treatment they have already had and what their cancer looks like under the microscope (histology)[1].

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