PEDS 4130 - Peds Test 3 Study Guide.

PEDS 4130 - Peds Test 3 Study Guide/PEDS 4130 - Peds Test 3 Study Guide. The Child With Cancer Ch. 51 P. 1423 Wilms Tumor (Nephroblastoma) P. 1423 KNOW! - Most common renal tumor in children. 75% of cases occur in children < 5 years old. Usually affects only one kidney; can be bilateral. Cause is unknown; can be inherited genetically. Grows very quickly, doubling its size in 11 to 13 days. DD: Tumor that grows in the kidney - Bright side you can live without one kidney. - Usually asymptomatic, firm, lobulated mass located to one side of the midline in the abdomen. Parents discover a mass during the child’s bath DD: contours of the abdomen are uneven. HTN caused by increased renin activity related to renal damage. Hematuria or abdominal pain is sometimes present. Rapid enlargement of kidney. Metastasis occurs via direct extension or bloodstream to the perirenal tissues, liver, diaphragm, lungs, abdominal muscles, and lymph nodes. DD: worry about BP and urine output.