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Pediatrics Childhood tumors ceadecae

A solid renal mass detected during prenatal ultrasound is most likely a

A
Wilm's tumor
B
Neuroblastoma
C
Clear cell sarcoma
D
Mesoblastic nephroma
High-Yield Explanation
Mesoblastic nephroma is the most common solid renal tumor identified in the neonatal period and the most frequent benign renal tumor in childhood. It represents 3-10% of all pediatric renal tumors. Many cases are diagnosed with prenatal ultrasound and can manifest as polyhydramnios, hydrops, and premature delivery. Most of the patients are diagnosed before 3 mo of age, whereas WT is rarely diagnosed before 6 mo of age. Radical nephrectomy is the treatment of choice and may be sufficient by itself. Local recurrence is uncommon. Reference: Nelson; Neuroblastoma; Page no: 2467

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