All::Nephrology::Diseases::Wilms' tumour

Intro

What is Wilms' tumour?

a cancer of the kidneys that typically occurs in children

What is the common presentation of Wilms' tumour?

abdominal mass in a young child

What patient groups is Wilms' tumour most common?

typically presents in children under 5 years of age, with a median age of 3 years old

What are the main clinical features of Wilms' tumour?

  • abdominal mass (most common presenting feature)
  • painless haematuria
  • flank pain
  • other features: anorexia, fever

What is the management of Wilms' tumour?

  • nephrectomy
  • chemotherapy
  • radiotherapy if advanced disease

What is the prognosis of Wilms' tumour?

prognosis: good, 80% cure rate