All of the following is true about Wilm's tumour except -
May present with an abdominal lump
It is most common renal neoplasm in children
It is always unilateral
Responds well to chemotherapy
Ans. is 'c' i.e., It is always unilateral Wilm's tumouro Wilm's tumor is the most common renal neoplasm & 2nd most common malignant abdominal tumor, in children(Most common abdominal malignant tumor is neuroblastoma)o Peak incidence is between 2 and 5 yrs of age.o 5-10% are bilateral; either both kidneys are involved simultaneously (synchronous) or one after the other (metachronous)Clinical features of W.T.# Abdominal lump (most common presenting feature)# Abdominal pain# Vomiting# Hematuria# HypertensionTreatment# High cure rates of 80-90% can be achieved with multimodality treatment using surgery, chemotherapy & radiotherapy# Surgical resection is done in all stages followed by chemotherapy (stage I &II) or chemotherapy* radiotherapy (stage III, IV, V)# Pre op chemotherapy is given in inoperable & bilateral cases# Chemotherapeutic agents used are Vincristine, Dactinomycin, Doxorubicin & Cyclophosphamide.
Renal Tumors