Wilms tumor - course and prognosis

With today's treatment methods, about 90% of all those affected can be cured in the long term. In individual cases the prognosis depends on the stage of the tumor and on its tissue types and their composition.

What are the course and prognosis?

The individual methods can cause complications, for example:

  • Bleeding and inflammation during the operation
  • a closure of the hepatic veins, hearing disorders, anemia or heart disease in chemotherapy
  • Impairment of lung function, connective tissue hardening or cancer (years later) as a result of irradiation

Recurrence, ie a recurrence of the treated cancer, and complications occur most often in the first two years after the completion of therapy. For this reason, the children must be very closely monitored during this time - at the beginning of a few weeks, then months later. In addition to the consultation with the doctor and the clinical examination, this includes the ultrasound of the abdomen, the X-ray of the lungs and the determination of blood and urine levels.

Depending on the type of tumor and therapy, bone scintigraphy, ECG and cardiac ultrasound, and hearing tests may be added.

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