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14 Cards in this Set
- Front
- Back
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What is a tumor that arises in the kidney?
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wilm’s tumor
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What is another name for a wilm’s tumor?
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nephroblastoma
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What is the most common age for a wilm’s tumor?
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2 to 5 years
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What congenital anomalies and syndromes are associated w/ wilms?
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hemihypertrophy, aniridia, genitourinary malformations (crypto), WAGR, denys-drash, beckwith-wiedemann
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What 3 elements are a wilm’s composed of?
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blastema, epithelia, stroma
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What are the characteristics of a favorable wilm’s?
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blastema, epithelia, and stromal, no ectopia or anaplasia
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What are the characteristics of an unfavorable wilm’s?
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diffuse anaplasia: enlarge nuclei, multipolar mitotic figures
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What is the most common presentation with wilm’s?
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abdmonal mass
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What are the characteristics of the abdmonal mass in wilm’s?
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firm, well-demarcated, rarely crosses the midline, can extend into pelvis
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What are all the manifestations of wilm’s?
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abdominal mass, abdominal pain, vomiting, microscopic hematuria, HTN, anemia
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What diagnostic study can confirm diagnosis?
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abdominal ultrasound or CT
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What must be evaluated in ultrasound and CT?
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kidneys and liver for mets
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What are the characteristics of stage V wilm’s?
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bilateral renal involvement
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What is the steps in tx of wilm’s?
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1st surgery resect, then chemo after 5 days, radiation including in stage 3 on
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