Wilms' tumor: Difference between revisions

(Text replacement - "Category:Peds" to "Category:Pediatrics")
(Text replacement - "Pt " to "Patient ")
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*Abdominal swelling/mass
*Abdominal swelling/mass
**Avoid vigorous palpation to prevent capsular rupture
**Avoid vigorous palpation to prevent capsular rupture
*Pt often appears well
*Patient often appears well


==Differential Diagnosis==
==Differential Diagnosis==

Revision as of 07:04, 2 July 2016

Background

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

Clinical Features

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

Differential Diagnosis

Diagnosis

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

Management

Disposition

  • Admission

References