Wilms' tumor physical examination
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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
On abdominal examination a painless mass may be palpated in the flank.
Physical Examination
Vital Signs
Skin
- Skin examination of patients with wilms tumor is usually normal.
- Pallor may be seen if the patient is anemic.[3]
HEENT
- Aniridia may be present
Abdominal
- A palpable abdominal mass may be present.[4]
- Examination of the mass should be done cautiously.
- If too much force is used then the mass rupture and lead to hemorrhagic bleeding into the peritoneal cavity.
- Mass is eccentrically located.
- It rarely crosses the midline.
Neurmuscular
- Mental retardation may be present
Genitourinary
- Genitourinary malformations may be present.
References
- ↑ Steinbrecher HA, Malone PS (August 1995). "Wilms' tumour and hypertension: incidence and outcome". Br J Urol. 76 (2): 241–3. PMID 7663919.
- ↑ Bonke B, Rupreht J, Van Eijndhoven JH (April 1986). "Stimulus processing during apparent unconsciousness in anesthetized volunteers". Percept Mot Skills. 62 (2): 587–91. doi:10.2466/pms.1986.62.2.587. PMID 3503272.
- ↑ Davidson A, Hartley PS, Shuttleworth MH (September 2005). "Erythrocytosis and iron deficiency anemia in Wilms tumor". J. Pediatr. Hematol. Oncol. 27 (9): 502. PMID 16189446.
- ↑ Wallenstein G, Rebohle E, Voigt U, Schneider WD, Bergmann I (August 1976). "[Trypsin-inhibitory - capacity in humans to respirable allergens or irritants (author's transl)]". Z Erkr Atmungsorgane (in German). 146 (2): 120–7. PMID 65842.