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Dr. Prabhu Karunakaran

Consultant Pediatric Urologist in Hyderabad

Dr. Prabhu Karunakaran

Consultant Pediatric Urologist in Hyderabad

Tumors and Cancers of the Kidneys in Children

Tumors and Cancers of the Kidneys in Children

Tumors or masses of the kidney in children are relatively rare, but among them, the most common type is nephroblastoma, also known as Wilms’ tumor. This condition is typically identified by parents when they notice unusual symptoms in their child, such as a bloated tummy, a large mass that can be felt during activities like bathing or dressing or blood in urine.

Early Detection and Treatment

Early detection of Wilms’ tumor and management by a multidisciplinary team is critical for effective treatment and ensuring a good quality of life for the child. The treatment often involves:

  1. Surgical Removal: This may include removing the mass alone or, in some cases, the affected kidney along with the tumor.
  2. Chemotherapy: Administered prior to surgery to reduce the size of the tumor and post-surgery to eliminate any remaining cancer cells and reduce the chances of recurrence.
  3. Radiotherapy: In select cases, radiotherapy may be recommended depending on the stage and type of tumor.

With timely intervention and appropriate treatment, the survival rates for children with Wilms’ tumor are encouraging, and most can lead a normal, healthy life post-recovery.

Causes

The exact cause of kidney tumors in children is not always clear. However, the most commonly accepted cause is genetic mutations. These mutations can disrupt normal cell growth and lead to the formation of tumors. Some children may have inherited genetic syndromes that predispose them to developing Wilms’ tumor.

Symptoms

Parents and caregivers should be vigilant for the following symptoms, as early recognition can significantly improve outcomes:

  • Abdominal Swelling or a Bloated Tummy: This is often the first noticeable sign and is usually discovered by parents while bathing or dressing the child.
  • Presence of a Large Mass: A firm, non-painful mass in the child’s abdomen might indicate a tumor.
  • Blood in the Urine (Hematuria): Although not always present, this symptom is an important indicator of kidney issues.
  • High Blood Pressure: This symptom is rare but can sometimes be associated with kidney tumors.

Treatment Options

The treatment approach for kidney tumor depends on various factors, including the child’s age, the stage of the tumor, its type, and nature. The primary treatment options include:

  1. Surgery:
    • Simple removal of the tumor.
    • Complete removal of the affected kidney (nephrectomy) along with the tumor.
    • Surgery can be performed open/laparoscopy/robotic approaches.
  2. Chemotherapy:
    • Used either before surgery to shrink the tumor or after surgery to destroy residual cancer cells.
  3. Radiotherapy:
    • Recommended in specific cases, particularly if the tumor is advanced or has spread beyond the kidney.

Multidisciplinary teams comprising pediatric urologists, oncologists, and radiologists work together to design the most effective treatment plan tailored to the child’s needs.

Contact Us

If your child is diagnosed with a kidney tumor and you wish to learn more about treatment options for kidney tumors in children, it is important to consult a trusted Pediatric Urologist. Early diagnosis and timely treatment are crucial for the best outcomes.

For more information or to book an appointment, consult: Dr. Prabhu Karunakaran, Consultant Pediatric Urologist and Robotic Surgeon, Hyderabad.

Visit: www.drprabhukarunakaran.com.

 

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