What are the two most common renal tumors in the pediatric population?
Wilms tumor and neuroblastoma.
What is the difference between a Wilms tumor and neuroblastoma?
Wilms tumor typically does not cross the midline.
What are the most common symptoms of a Wilms tumor?
Hematuria, flank pain, palpable mass, constipation in large tumors
What is the typical Wilms tumor treatment?
Nephrectomy and chemotherapy. In the case of metastasis radiation is added to the treatment plan.
Very large mass (10 x 9 x 10 cm) arising from superior pole of right kidney with hypervascularity, consistent with Wilms tumor. Multiple nodules in lungs bilaterally with the largest measuring up to 2 cm indicating pulmonary metastasis. Right adrenal nodule also concerning for metastatic disease.