A 9-year-old male is diagnosed with Wilm's tumor. Which of the following would the nurse expect to note as the most common symptom?

Abdominal mass

Explanation

•Wilm’s tumor, or nephroblastoma, is a malignant tumor of the kidneys. It typically occurs in children and has a high survival rate.

•The most common symptom is an asymptomatic abdominal mass, which occurs in 80% of patients.

•Other common symptoms may include hematuria (25%) and abdominal pain (25%).

Incorrect options:

•Pain during urination is a side effect of a UTI, which is a much less common complication of Wilm's tumor.

•Nausea and vomiting occasionally occur with a Wilm's tumor but are not common.

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