For a few children, susceptibility to Wilms tumour is inherited. Prognosis depends on the extent of the disease at diagnosis and the type of Wilms tumour. Children with Wilms tumour in one kidney are treated by removal of the affected kidney and with chemotherapy. Children with high-risk features of Wilms tumour receive more intensive chemotherapy, as well as radiation therapy to the areas of the body where the tumour is or was located. The management of Wilms tumour involving both kidneys is complex and tailored to the characteristics of both the child and the disease.
Every effort is made to preserve kidney function.
Wilms tumour is a good example of a success story in childhood cancer. I had one kidney out a year and a half ago. I had 3 chemo drugs for about a year. They made me puke a lot. The first time Chemo was quite funny because it doesn't hurt.