Wilms' tumor

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Background

  • Affects children <10yr
  • Arises from persistent embryonal renal cells
  • 10-15% will have mets at presentation (lungs)
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Clinical Features

  • Abdominal swelling/mass
    • Avoid vigorous palpation to prevent capsular rupture
  • Patient often appears well

Differential Diagnosis

Evaluation

  • Ultrasound or CT
  • CBC, chemistry, LFT, coags

Management

Disposition

  • Admission

References