Which among the following is the least common symptom of Wilms tumour?: (A) Haematuria, (B) Mass abdomen, (C) Pain, (D) Fever
Answer is D. After neuroblastoma, Wilms tumor is the second most common abdominal tumor in children. Symptoms consist of abdominal enlargement in 60%; pain in 20%; hematuria in 15%; malaise, weakness, anorexia, and weight loss in 10%; and fever in 3%. Hypeension is noted in over half of patients. Ref: Albanese C.T., Sylvester K.G. (2010). Chapter 43. Pediatric Surgery. In G.M. Dohey (Ed), CURRENT Diagnosis & Treatment: Surgery, 13e.