Wilms' tumor: Difference between revisions

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==Background==
==Background==
*Affects children <10yr  
*Affects children <10yr  
*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 presentation (lungs) [[File:Wilms.jpg|thumbnail]]


==Clinical Features==
==Clinical Features==

Revision as of 21:11, 18 March 2017

Background

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

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