The choice of risk management strategy should take into account current age, other health issues, age-related cancer risk and the estimated risk associated with the underlying genetic diagnosis. Risks and benefits of interventions should be discussed with an experienced medical professional.
The impact of lifestyle on cancer risk should be discussed e.g. exercise most days for at least 30 minutes at moderate or strenuous intensity, maintain a healthy weight, have a healthy diet, limit alcohol intake, do not smoke and avoid excess sun exposure.
For individuals with genetic diagnosis within the high and moderate risk category, the recommended risk management strategy is outlined below.
||Age to begin
||Strategy and frequency
From birth or diagnosis
- Recommend renal ultrasound every 3 months until age 7 years
- Consider specialist physical examination twice yearly
For DICER1 risk management strategy see DICER1 - risk management (child)
The choice of risk management strategy within the group of low risk Wilms tumour (≤2%) is unclear and there is no consensus.