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Quick Facts

Wilms Tumor

By

The Manual's Editorial Staff

Last full review/revision Sep 2020| Content last modified Sep 2020
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What is Wilms tumor?

Wilms tumor is a type of cancer in which a tumor grows on a kidney. It happens most often in children younger than 5.

  • Doctors don’t know what causes Wilms tumor, but children who have certain health problems at birth are more likely to get it

  • Children with Wilms tumor have a lump in their belly and may throw up and have belly pain, fever, poor appetite, and upset stomach

  • Wilms tumor usually affects one kidney, but it can affect both

  • Treatment includes surgery, chemotherapy, and sometimes radiation therapy

What causes Wilms tumor?

Most of the time, doctors don’t know what causes Wilms tumor. Sometimes it's caused by a problem with the child's genes.

What are the symptoms of Wilms tumor?

The first symptom of Wilms tumor is usually:

  • A painless lump in a child's belly

Other symptoms include:

  • A swollen belly (sometimes parents notice that a young child suddenly needs a larger-sized diaper)

  • Belly pain, fever, poor appetite, upset stomach, and throwing up

  • Blood in the urine

  • High blood pressure

If the cancer spreads to the lungs, it may cause coughing and shortness of breath.

How can doctors tell if my child has Wilms tumor?

Doctors suspect Wilms tumor if they feel a lump in a child's belly. To know for sure, they'll do:

Doctors also use CT scan or MRI to see if any cancer has spread to the lymph nodes, liver, or lungs.

How do doctors treat Wilms tumor?

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An important part of normal development is an infant’s growing attachment to its parents. As this bond strengthens, the infant may express fear or anxiety when the parents leave. This “separation anxiety” typically begins at around 8 months of age and resolves at around 24 months of age. Which of the following is the normal and expected infant behavior in reaction to a parent leaving the room during the time period of separation anxiety?
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