A 3-year-old girl presents with a painless left flank mass discovered by her mother during bathing. Vital signs show BP 110/68 mmHg, HR 98/min, RR 22/min, temperature 37.2°C, and SpO2 98% on room air. She denies fever, weight loss, and hematuria. Laboratory studies reveal hemoglobin 10.2 g/dL. Abdominal ultrasound demonstrates a large unilateral left renal mass with normal renal function. Which diagnosis is most likely?
- A)Wilms tumorGABARITO
- B)Transitional cell carcinoma
- C)Renal cell carcinoma
- D)Oncocytoma
- E)Angiomyolipoma
Explicação
Wilms tumor is correct. Nephroblastoma is the most common malignant renal tumor of childhood and often presents as a large painless abdominal mass in a young child. It can be associated with WAGR, Beckwith Wiedemann, and Denys Drash syndromes. Ver explicação completa e trilha adaptativa →