Wilms' tumor

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Background

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

Diagnosis

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

Work-Up

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


Disposition

Admission

Source

Tintinalli