Wilm's tumor: Symptoms, Diagnosis & Treatments
Symptoms A clinical presentation of Wilm 's tumor occurs in 25% of hypertension patients with an increase in renin activity caused by compression of the enlarged mass with asymptomatic abdominal mass. In addition, gross painless hematuria, fever, and anemia may be caused by bleeding of pelvis or parenchyma, and tumor thrombus may block inferior vena cava. The patient was admitted to the emergency room with abdominal pain with LLQ abdominal mass, and Wilm 's tumor was diagnosed on follow - up. Diagnosis The diagnosis of Wilm's tumor is made using various imaging modalities. CT can be used to detect an intrarenal origin mass and distinguish it from the adrenal mass neuroblastoma. Wilm's tumor may also cause hydronephrosis, hemorrhage, necrosis, etc., while causing renal pelvic obstruction. Doppler US can identify renal vein or IVC tumor thrombus. Chest CT should be used to confirm pulmonary metastasis and to confirm before surgery whether the atelectasis or effusion i...