Wilms' tumor

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

Differential Diagnosis

• Neuroblastoma

Evaluation

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

Disposition

• Admission

Authors:

Ross Donaldson