Wilms' tumor: Difference between revisions
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*Arises from persistent embryonal renal cells *10-15% will have mets at presentatio (lungs) [[File:Wilms.jpg|thumbnail]] | *Arises from persistent embryonal renal cells *10-15% will have mets at presentatio (lungs) [[File:Wilms.jpg|thumbnail]] | ||
== | ==Clinical Features== | ||
*Abdominal swelling/mass | *Abdominal swelling/mass | ||
**Avoid vigorous palpation to prevent capsular rupture | **Avoid vigorous palpation to prevent capsular rupture | ||
*Pt often appears well | *Pt often appears well | ||
== | ==Differential Diagnosis== | ||
==Diagnosis== | |||
*UTZ or CT | *UTZ or CT | ||
*CBC, chemistry, LFT, coags | *CBC, chemistry, LFT, coags | ||
==Management== | |||
==Disposition== | ==Disposition== | ||
Admission | *Admission | ||
== | ==References== | ||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:Heme/Onc]] | [[Category:Heme/Onc]] | ||
Revision as of 20:08, 26 June 2015
Background
- Affects children <10yr
- Arises from persistent embryonal renal cells *10-15% will have mets at presentatio (lungs)
Clinical Features
- Abdominal swelling/mass
- Avoid vigorous palpation to prevent capsular rupture
- Pt often appears well
Differential Diagnosis
Diagnosis
- UTZ or CT
- CBC, chemistry, LFT, coags
Management
Disposition
- Admission