Wilms’ Tumor:Symptoms & Signs, Diagnosis & Tests

Symptoms & Signs

  • Abdominal pain
  • Constipation
  • Fever
  • General discomfort or uneasiness (malaise)
  • High blood pressure
  • Increased growth on only one side of the body
  • Loss of appetite
  • Nausea
  • Swelling in the abdomen (abdominal hernia or mass)
  • Vomiting

Note: Abnormal urine color may also be associated with this disease.

Diagnosis & Tests

Special emphasis is placed on the history and physical exam. The doctor may ask if you have a family history of cancer and look for associated birth defects in the child.

A physical examination reveals an abdominal mass. High blood pressure may also be present.

Blood in the urine occurs in less than 25% of children.

Tests include:

  • Abdominal ultrasound
  • Abdominal x-ray
  • BUN
  • Chest x-ray
  • Complete blood count (may show anemia)
  • Creatinine
  • Creatinine clearance
  • CT scan of the abdomen
  • Intravenous pyelogram
  • Urinalysis
Other tests may be required to determine if the tumor has spread.

Kidney anatomy

Review Date : 5/8/2008
Reviewed By : Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only — they do not constitute endorsements of those other sites. © 1997- 2010 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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