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

  • High blood pressure[1]
  • Fever[2]

Skin

  • Skin examination of patients with wilms tumor is usually normal.
  • Pallor may be seen if the patient is anemic.[3]

HEENT

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

  1. Steinbrecher HA, Malone PS (August 1995). "Wilms' tumour and hypertension: incidence and outcome". Br J Urol. 76 (2): 241–3. PMID 7663919.
  2. 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.
  3. 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.
  4. 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.

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