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2 differential for abdominal mass in young children? how do their presentation differ?

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Final answer:

Hepatoblastoma and Wilms tumor are two conditions that should be considered in the differential diagnosis of abdominal mass in young children. Hepatoblastoma is a rare liver cancer that can present with symptoms like abdominal pain and jaundice, while Wilms tumor is a kidney cancer that can cause abdominal pain and hematuria. The location of the mass and associated symptoms can help differentiate between these conditions.

Step-by-step explanation:

When it comes to differential diagnosis for abdominal mass in young children, two conditions that should be considered are:



  1. Hepatoblastoma: This is a rare type of liver cancer that primarily affects children. The presentation of hepatoblastoma can vary, but it commonly presents as an abdominal mass, along with symptoms such as abdominal pain, anemia, weight loss, and jaundice.
  2. Wilms tumor: This is a type of kidney cancer that mainly affects young children. The typical presentation of Wilms tumor includes an abdominal mass that can be palpated, along with symptoms like abdominal pain, hematuria (blood in the urine), and hypertension.



While both conditions can present as abdominal masses in young children, the location of the mass and associated symptoms can help differentiate between them. Hepatoblastoma often presents as a mass in the upper abdomen, while Wilms tumor is usually located in the flank region. Furthermore, the presence of additional symptoms, such as jaundice in hepatoblastoma or hematuria in Wilms tumor, can further guide the diagnosis.

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