Wilms' tumor history and symptoms

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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

Common Symptoms

• Common symptoms of wilms tumor include:
  • Abdominal pain
  • Hematuria

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:

• 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.