Wilms' tumor

Revision as of 06:16, 27 July 2016 by Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==")

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

Evaluation

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

Management

Disposition

  • Admission

References