Wilms' tumor
Revision as of 19:34, 1 October 2019 by ClaireLewis (talk | contribs)
Background
- Affects children <10yr
- Arises from persistent embryonal renal cells
- 10-15% will have mets at presentation (lungs)
Clinical Features
- Abdominal swelling/mass
- Avoid vigorous palpation to prevent capsular rupture
- Patient often appears well
- Less frequent features include abdominal pain, hematuria, fever, anorexia, nausea/vomiting, hypertension[1]
Differential Diagnosis
Evaluation
- Ultrasound or CT
- CBC, chemistry, LFTs, coags
Management
- Consult oncology/surgery
- Surgery, chemo, and/or radiation
Disposition
- Admission