Patient's question:
My son has been sick frequently over the past six months, with high fever and a slightly bloated stomach. He's also unwilling to eat. When the stomach is gently pressed, it feels somewhat hard, as if there's something inside. He rarely has bowel movements, usually only once every three days. I initially thought it was indigestion, but the hospital examination revealed it to be a pediatric Wilms' tumor.Doctor's answer:
Hello, Wilms' tumor has a certain genetic predisposition. When surgery is performed and a mass is discovered, all necessary clinical and laboratory tests should be actively completed within 24 to 48 hours, and a clear diagnosis should be made. Wilms' tumor should be surgically treated within 2 to 3 days after admission. If the patient has other concurrent diseases, the surgery can be postponed accordingly, such as in cases of hypertension in children with Wilms' tumor, or rarely with concurrent congestive heart failure or pneumonia. For patients with extensive pulmonary metastases affecting lung function, radiotherapy or chemotherapy should be performed before surgery. For large tumors, preoperative chemotherapy and radiotherapy should be conducted to shrink the tumor and reduce the spread of tumor cells caused by surgical compression. The choice of surgery time should be based on the tumor's sensitivity to radiotherapy and chemotherapy. For reference!