Which statement about Wilms tumor is true?

Which statement about Wilms tumor is true?

• A. It commonly presents in adults
• B. It is never associated with syndromes
• C. It often presents as a solid renal mass in young children
• D. It is always bilateral at presentation

Answer: (C)

Wilms tumor is the most common kidney cancer in children, with the typical presentation being a solid mass arising from the kidney in a young child, usually around ages 2 to 5. This solid renal mass in a child is the hallmark, reflecting its origin in renal tissue and its dominant presentation in early childhood. It’s not common in adults, and while it can be linked to congenital syndromes (such as WAGR, Denys-Drash, Beckwith-Wiedemann), it is not never associated with syndromes. It is usually unilateral at presentation; bilateral cases do occur but are less common, so saying it is always bilateral isn’t accurate.

Wilms tumor is the most common kidney cancer in children, with the typical presentation being a solid mass arising from the kidney in a young child, usually around ages 2 to 5. This solid renal mass in a child is the hallmark, reflecting its origin in renal tissue and its dominant presentation in early childhood. It’s not common in adults, and while it can be linked to congenital syndromes (such as WAGR, Denys-Drash, Beckwith-Wiedemann), it is not never associated with syndromes. It is usually unilateral at presentation; bilateral cases do occur but are less common, so saying it is always bilateral isn’t accurate.