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Tumor de Wilms - Symptom

Nombres alternativos

Tumor del riñón o Tumor renal; Nefroblastoma

Síntomas:

  • Dolor abdominal
  • Estreñimiento
  • Fiebre
  • Sensación de molestia o inquietud general (malestar)
  • Presión arterial alta
  • Aumento del tamaño de un solo lado del cuerpo
  • Inapetencia
  • Náuseas
  • Hinchazón en el abdomen (hernia o masa abdominal)
  • Vómitos
Nota: la orina de color anormal puede también estar asociada con esta enfermedad.

Signos y exámenes:

Se hace énfasis especialmente en la historia clínica y en el examen físico. El médico indagará sobre antecedentes familiares de cáncer y buscará anomalías congénitas asociadas en el niño.

Un examen físico revela una masa abdominal. Es posible que también se presente presión arterial alta.

La presencia de sangre en la orina se da en menos del 25% de los niños.

Algunos de los exámenes son:

Se pueden requerir otros exámenes para determinar si el tumor se ha diseminado.
  • Reviewed last on: 6/7/2010
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine; Yi-Bin Chen, MD, Leukemia/Bone Marrow Transplant Program, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Kim S, Chung DH. Pediatric solid malignancies: neuroblastoma and Wilms' tumor. Surg Clin North Am. 2006;86(2):469-487.

Jaffe N, Huff V. Neoplasms of the kidney. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 499.

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