Wilm Tumor (Nephroblastoma)
A. INTRODUCTION
A. INTRODUCTION
Definition of Wilm tumor is malignant and the most to the five most common renal tumor at the age of the children. These tumors appear most at the age of three years and is rarely found after 8 years of age. There are 250 cases of Wilm tumor ever reported. However, preoperative diagnosis of Wilm tumor in adults is quite difficult. These tumors usually appear as a solid renal mass with or without accompanied by hematuria. This solid mass may be accompanied by the process of cystic degeneration and focal necrosis. Sometimes the radiological picture may resemble renal cysts hemorhagik. These tumors appear in one or two kidneys. (A) (7)
The existence of large masses diabdomen, especially in children aged 1-5 years should arouse suspicion Tumor Wilm. This is an aggressive neoplasm and metastasis to different organs, but to respond to combination therapy. Wilm tumor when diagnosed and get appropriate therapy has a high cure rate is as high as 90%. (A) (7)
Development of diagnostic imaging in recent years also plays an important role in enhancing the efficacy and accuracy of diagnosis of Wilm tumor and it is extremely important in designing the best combination therapy in children. (A) (7)