Wilms' tumor history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The common symptoms of wilms' tumor include [[sweeling]], [[abdominal pain]], [[fever]], [[hypertension]], and [[hypercalcemia]]. | |||
==History and Symptoms== | ==History and Symptoms== | ||
'''The following symptoms may be caused by Wilms or other childhood kidney tumors:''' | '''The following symptoms may be caused by Wilms or other childhood kidney tumors:'''<ref name="cancergov"> National Cancer Institute. Physician Data Query Database 2015. http://www.cancer.gov/publications/pdq </ref> | ||
* A lump, [[swelling]], or [[abdominal pain]]. Most children present with an asymptomatic mass that is noted when they are bathed or dressed. Abdominal pain is present in 40% of children. | * A lump, [[swelling]], or [[abdominal pain]]. Most children present with an asymptomatic mass that is noted when they are bathed or dressed. Abdominal pain is present in 40% of children. | ||
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'''Children with Wilms tumors or other renal malignancies may also come to medical attention as a result of the following:''' | '''Children with Wilms tumors or other renal malignancies may also come to medical attention as a result of the following:''' | ||
* | * Vascular obstruction or [[metastasis]], including pulmonary symptoms due to lung metastasis. | ||
* Abdominal pain due to liver metastasis, prominent abdominal wall vessels, or varicocele due to inferior vena cava obstruction. | * Abdominal pain due to liver metastasis, prominent abdominal wall vessels, or varicocele due to inferior vena cava obstruction. | ||
* [[Pulmonary embolus]] (rare). | * [[Pulmonary embolus]] (rare). | ||
Revision as of 20:07, 26 August 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
The common symptoms of wilms' tumor include sweeling, abdominal pain, fever, hypertension, and hypercalcemia.
History and Symptoms
The following symptoms may be caused by Wilms or other childhood kidney tumors:[1]
- A lump, swelling, or abdominal pain. Most children present with an asymptomatic mass that is noted when they are bathed or dressed. Abdominal pain is present in 40% of children.
- Fever. Fever is occasionally noted.
- Blood in the urine. Although gross hematuria occurs in about 25% of children with Wilms tumor, most children with gross hematuria do not have Wilms tumor.
- Hypertension. About 25% of children have hypertension at presentation, which is caused by excessive renin excretion and responds to angiotensin-converting enzyme (ACE) inhibitors or surgical removal of the tumor.
- Hypercalcemia. Symptomatic hypercalcemia can sometimes be seen at presentation of rhabdoid tumors.
Children with Wilms tumors or other renal malignancies may also come to medical attention as a result of the following:
- Vascular obstruction or metastasis, including pulmonary symptoms due to lung metastasis.
- Abdominal pain due to liver metastasis, prominent abdominal wall vessels, or varicocele due to inferior vena cava obstruction.
- Pulmonary embolus (rare).
References
- ↑ National Cancer Institute. Physician Data Query Database 2015. http://www.cancer.gov/publications/pdq