Specific treatment for Wilms tumor will be determined by your child’s physician based on:
- Your child’s age, overall health and medical history.
- Extent of the disease.
- Your child’s tolerance for specific medications, procedures or therapies.
- Expectations for the course of the disease.
- Your opinion or preference.
Treatment may include (alone or in combination) the following methods:
- Surgery – to remove all or part of the affected kidney and any involved structures.
- Biopsy of the tumor – if the tumor is too large or involved in surrounding structures to be removed; a biopsy also is necessary for diagnosis and staging the disease.
- Chemotherapy – to shrink the remaining tumor, or to treat metastasis and/or recurrent disease.
- Radiation – to shrink the remaining tumor or to treat metastasis and/or recurrent disease.
- Medications – to control pain, hypertension, nausea and infections.
- Blood pressure monitoring – essential when a kidney tumor is present.
- Continuous follow-up care – to determine response to treatment, detect recurrent disease, evaluate function of remaining kidney and manage late effects of treatment.