Patient's question:
A few weeks ago, my child kept having fever. He often had high fever that lasted for several days. I thought it was because his immunity was low, so I took him to the hospital to buy medicine. But the result was that he was diagnosed with Wilms' tumor, and I was terrified at the time.Doctor's answer:
Wilms' tumor, unlike adult renal embryonal carcinoma, is less commonly associated with hematuria. The first sign that attracts attention in children is a mass in the abdomen. Renal embryonal carcinoma can occur in any part of the kidney, and the renal pelvis is often compressed and deformed. The clinical manifestations of Wilms' tumor are not complex but are quite consistent. The tumor surface is smooth, moderately firm, and painless. Located in the upper abdominal flanks, it can extend beyond the midline, pushing abdominal organs to one side. In a few cases, anemia and urinary abnormalities may occur. Hematuria is occasionally seen, often accompanied by hypertension.