Symptoms:

• 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.

Signs and tests:

Special emphasis is placed on the history and physical exam. The doctor 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.