Question 120
{"accessible":false,"alternatives":[{"id":603,"text":"large cystic spaces"},{"id":604,"text":"fat with in the tumor"},{"id":605,"text":"liver metastases"},{"id":606,"text":"lung metastases"},{"id":607,"text":"skeletal metastases"},{"id":608,"text":"tumor calcification"}],"archived":false,"correctAlternativeId":607,"explanation":"\u003cp\u003eWilms tumor may calcify (15%) and some may have fatty or cystic regions. Lung metastases are the commonest site for metastatic disease. Liver metastases are also seen. Skeletal metastases are very rare in Wilms tumor and if they were present, an alternate diagnosis such as clear cell sarcoma should be considered (second most common pediatric renal malignancy).\u003c/p\u003e","id":120,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/120","nextQuestionPath":null,"relatedArticles":[{"id":8152,"title":"Wilms tumor","link":"/articles/wilms-tumour?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eIn a child with an abdominal mass which of the following features would make you think that Wilms tumor is \u003cstrong\u003eNOT\u003c/strong\u003e the most likely diagnosis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/120"}],"attemptsPercentages":[{"alternativeId":"607","percentage":45},{"alternativeId":"608","percentage":18},{"alternativeId":"605","percentage":4},{"alternativeId":"604","percentage":17},{"alternativeId":"603","percentage":12},{"alternativeId":"606","percentage":4}],"promptToLogin":false,"questionManager":false,"articleId":"clear-cell-sarcoma-of-the-kidney"}