Wilms' tumor

Revision as of 16:09, 22 July 2017 by Mholtz (talk | contribs) (Text replacement - "==References== " to "==References== <references/> ")

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