Virginia Commonwealth University

VCU Massey Cancer Center

Treatment

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.