Sharing A Case: Wilms Tumour

Last night, i have had a dream...it was an odd incidence which i actually dreamed of a Wilm's Tumor.

in a random day,a toddler was brought to the emergency department because of an irregular mass felt by the mother on the left hypochondrium. and, the mother also added the toddler has not passed motion for quite some days with no urinary system problem.

as typical student, we are interested with something presented abnormally rather than normal. hence we approached the caring mother with a sympathy tone and ask about the toddler. after a while, we were palpating the child's abdomen and felt the mass. it was a firm to hard, irregular oval shaped mass, sized 5X6cm, poorly demarcated margin, located on lower left hypochondrium and upper left lumbar region of the abdomen.

initially,the caring mother was expecting the mass was just feces secondary to the constipation, however, as the attending approaching, the facial expression of the mother changed and become worried. slowly the tears was running down unstoppable. as the they delivered bad news to the mother, they had suspected the mass was actually a tumor, Wilms tumor and further investigation is needed to confirm the diagnosis.

any parents would like to see their child or children always at the pink of health. they were working tremendously to keep their children comfortable and saving the best for them. we felt bad for the sick child and the poor mother, besides sending our regards and show our sympathy to the mother, we barely can do anything. Giving hope to the mother seems to be the wrong move to pinch in. hence, wishing them and hoping the treatment will cure the child are the least thing we can afford. May God bless the child and the family.