Wilms' tumor history and symptoms: Difference between revisions
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** Asymptomatic abdominal mass | ** Asymptomatic abdominal mass | ||
*** This occurs in 80% of children. | *** This occurs in 80% of children. | ||
** | ** [[Urinary tract infection]] | ||
=== Common Symptoms === | === Common Symptoms === | ||
* Common symptoms of wilms tumor include: | * Common symptoms of wilms tumor include: | ||
** Abdominal pain | ** [[Abdominal pain]] | ||
** Hematuria | ** [[Hematuria]] | ||
=== Less Common Symptoms === | === Less Common Symptoms === | ||
* | * Less common symptoms of wilms tumor include: | ||
** [[Hypertension]] | |||
** [[Fever]] | |||
** Respiratory symptoms | |||
** [[Anemia]] | |||
** [[Varicocele]] | |||
** [[Hypercalcemia]] | |||
'''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> | '''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> | ||
Revision as of 15:05, 4 June 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shanshan Cen, M.D. [2]
Overview
The common symptoms of wilms' tumor include swelling, abdominal pain, fever, hypertension, and hypercalcemia.
History and Symptoms
History
- Patients with wilms tumor may have a positive history of:
- Asymptomatic abdominal mass
- This occurs in 80% of children.
- Urinary tract infection
- Asymptomatic abdominal mass
Common Symptoms
- Common symptoms of wilms tumor include:
Less Common Symptoms
- Less common symptoms of wilms tumor include:
- Hypertension
- Fever
- Respiratory symptoms
- Anemia
- Varicocele
- Hypercalcemia
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