A frantic mother brings her young child into the emergency department. She states that during the evening bath, she noticed a large mass in her child's abdomen
After diagnostic testing, the pediatrician tells the parents that their child has Wilms tumor, stage IV. After the doctor leaves the room, the parents ask the nurse, "What does this mean?" The nurse will respond, "Your child ('s)
A)
"has cancer in his stomach."
B)
"has cancer in the kidney that has spread most likely to his lungs."
C)
"will need to undergo surgery to remove both kidneys and then go on dialysis."
D)
"tumor can be easily treated with chemotherapy. We will start this soon."
Ans:
B
Feedback:
Wilms tumor usually is a solitary mass that occurs in any part of the kidney. It usually is sharply demarcated and variably encapsulated. Stage IV means the tumors have undergone hematogenous metastasis, most commonly involving the lung. Treatment involves surgery, chemotherapy, and sometimes radiation therapy. Long-term survival rates are good (90%) for stages I to III.
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