RT Book, Section
A1 Thomas, Stefanie
A1 Thompson, Margaret C.
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114880205
T1 Wilms Tumor
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114880205
RD 2024/04/19
AB A  6-year-old  previously  healthy  boy  presented  to  his  pediatrician  with  abdominal  fullness  for  one  month.  The  child  had  no  abdominal  or  gastrointestinal  complaints.  On  examination,  he  had  left-sided  abdominal  firmness.  An  ultrasound  revealed  a  mass  that  appeared  to  originate  from  the  kidney.  He  was  referred  to  pediatric  oncology.  CT  scan  of  the  abdomen  confirmed  a  large  kidney  mass  with  displacement  of  the  structures  within  the  left  abdomen,  most  consistent  with  a  Wilms  tumor  (Figure  213-1).  Work-up  for  metastatic  disease,  including  a  chest  CT  was  negative.  The  patient  underwent  nephrectomy  (Figure  213-2).  Pathology  of  the  mass  revealed  Wilms  tumor  with  favorable  histology.  The  child  received  chemotherapy  and  has  been  tumor-free.