Surgery Kidney & Ureturs 14c02ffb The Earliest symptom of Wilm's tumor is: A Hematuria B Pyrexia C Abdominal mass D Metastases High-Yield Explanation Ans. (c) Abdominal massRef: Bailey 26th Edition, Page 1304* Wilm's tumor presents with an abdominal mass. Other symptoms include hematuria, abdominal pain or fever