A Case Report of A Child with Advanced Wilms Tumor and the Ethical Challenges in Treatment

Lakzaei, J; Sanagoo, A; Araghian Mojarad, F; Jouybari, L; Amirshahi, M; Kalantay, S

A Case Report of A Child with Advanced Wilms Tumor and the Ethical Challenges in Treatment

Document Type : Case Report

Authors

J Lakzaei ¹

A Sanagoo ²

F Araghian Mojarad ³

L Jouybari ⁴

M Amirshahi ⁵

S Kalantay ⁶

¹ Bachelor of Nursing Student, Student Research Committee, Golestan University of Medical Sciences

² Associate Professor, Department of Nursing, PhD in Nursing, Nursing Research Center, Golestan University of Medical Sciences

³ PhD student in nursing, Student Research Committee, Golestan University of Medical Sciences

⁴ Ph.D, Associate Professor of Nursing, Nursing Research Center, Goletsan University of Medical Sciences, Gorgan, Iran

⁵ Instructor, Master of Midwifery, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences

⁶ Master of Nursing Education, Faculty of Operating Room Department, Laboratory Sciences Research Center, Faculty of Paramedical Sciences, Golestan University of Medical Sciences

Abstract

Wilms' tumor is the second most common intra-abdominal malignancies in children, which include about six percent of children malignancies and 95 percent of kidney tumors in pediatric age group. The patient was a 32 months old girl with history of abdominal distention for the last 22 months of life. Wilms' tumor as diagnosis was confirmed with ultrasonography and CT-Scan. Following nephrectomy the parents didn’t agree with chemotherapy and radiation, therefore the child received only palliative care. During this time because of recurrence of symptoms, the patient repeatedly hospitalized and discharged with partial remission. The patient died at home after a short time.

Keywords

Wilms Tumor

Ethics

Palliative Care

Kidney Neoplasms

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