Abdominal distention, most often painless
Abdominal pain (20–30% of cases)
Hematuria (20–30% of cases)
Fever, anorexia, vomiting
Family history of Wilms tumor
Rapid increase in abdominal s...
Not required for stage I and II patients unless anaplastic, clear cell, or rhabdoid
Radiotherapy to tumor bed with 1,080 cGy for stages III and IV; if gross tumor spillage or per...
Every 3 months for 18 months, every 6 months for 1 year, and then yearly
Chest radiograph, urinalysis, and abdominal ultrasound at regular interv...
Davidoff AM, Wilms tumor. Adv Pediatr. 2012;59(1):247–267. [View Abstract on OvidInsights]
Dome JS, Graf N, Geller JI, et al. Advances in Wilms tumor treatment and biology: pro...
C64.9 Malignant neoplasm of unsp kidney, except renal pelvis
C64.1 Malignant neoplasm of right kidney, except renal pelvis
C64.2 Malignan...
Q: Can a child grow and live normally with one kidney?
A: Yes. Studies of children with unilateral nephrectomy show a rate of chronic renal failure at 25 years of <1%.
Q: What is my child’s risk ...
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<bold>Figure 9.44. Wilms tumor in two patients. A.</bold> IVU shows a mass in the left kidney distorting the renal architecture. <bold>B.</bold> Digital abdominal scout view for a CT scan on another patient shows upward displacement of the contrast in the right kidney (<i>arrow</i>). The abdomen appears to be filled with a mass.
<bold>Figure 9.44. Wilms tumor in two patients. A.</bold> IVU shows a mass in the left kidney distorting the renal architectur...
<bold>Figure 9.45. Wilms tumor of the left kidney.</bold> (This is the same patient as in Fig. 9.44B). Two CT images show the large right renal mass (<i>W</i>). Notice the beak sign at the junction of the tumor with normal kidney in B (<i>arrow</i>).
<bold>Figure 9.45. Wilms tumor of the left kidney.</bold> (This is the same patient as in Fig. 9.44B). Two CT images show the ...
<bold>Figure 9.45. Wilms tumor of the left kidney.</bold> (This is the same patient as in Fig. 9.44B). Two CT images show the large right renal mass (<italic>W</bold>). Notice the "beak" sign at the junction of the tumor with normal kidney in B (<italic>arrow</bold>).
<bold>FIGURE 112.6</bold> Wilms tumor (nephroblastoma). This photomicrograph of the tumor shows highly cellular areas composed of undifferentiated blastema, loose stroma containing undifferentiated mesenchymal cells, and immature tubules. (From Rubin E, Farber JL. <italic>Pathology</bold>, 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 1999,with permission.)
<bold>FIGURE 112.6</bold> Wilms tumor (nephroblastoma). This photomicrograph of the tumor shows highly cellular areas composed...
Wilms tumor. A cross-section of a pale tan neoplasm is attached to a residual portion of the kidney.
<bold>Fig GU 32-7. Wilms' tumor.</bold> Large low-density mass pushing the functioning portion of the left kidney (arrow) across the midline.
<bold>Fig GU 32-7. Wilms' tumor.</bold> Large low-density mass pushing the functioning portion of the left kidney (arrow) acro...
<bold>Fig GU 32-8. Bilateral Wilms' tumor.</bold> Huge left renal mass (W) that crosses the midline. There is also a small separate mass (w) in the right kidney.<sup>2</sup>
<bold>Fig GU 32-8. Bilateral Wilms' tumor.</bold> Huge left renal mass (W) that crosses the midline. There is also a small sep...