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By Mayo Clinic staffUsually, there are no clear risk factors present in children who develop Wilms' tumor; however, the following risk factors may make the disorder more likely to occur:
- Sex. Girls are slightly more likely to develop Wilms' tumor than are boys.
- Race. Black children have a slightly higher risk of developing Wilms'. Asian-Americans appear to have a lower risk.
- Family history. If someone in your child's family has had Wilms' tumor, then your child has a slightly increased risk of developing the disease.
Wilms' tumor occurs more frequently in children with certain abnormalities present at birth, including:
- Aniridia. In this rare condition the iris — the membrane that gives the eye its color and controls the amount of light entering the eye — forms only partially or not at all.
- Hemihypertrophy. This abnormality occurs when one side of the body is noticeably larger than the other side.
- Undescended testicles. One or both testicles fail to descend into the scrotum (cryptorchidism).
- Hypospadias. The urinary (urethral) opening is not at the tip of the penis, but is on the underside.
Wilms' tumor can occur as part of rare syndromes, including:
- WAGR syndrome. This syndrome includes Wilms' tumor, aniridia, abnormalities of the genitals and urinary system, and mental retardation.
- Denys-Drash syndrome. This syndrome includes Wilms' tumor, kidney disease and male pseudohermaphroditism, in which a boy is born with undeveloped genitalia and undescended testicles.
- Beckwith-Wiedemann syndrome. Symptoms of this syndrome are omphalocele — the abdomen fails to close around the base of the umbilical cord and abdominal organs protrude into the base of the cord — a large tongue (macroglossia) and enlarged internal organs.
- Detailed guide: Wilms' tumor. American Cancer Society. http://documents.cancer.org/106.00/106.00.pdf. Accessed July 22, 2009.
- Maloney K, et al. Neoplastic disease. In: Hay WW, et al. Current Diagnosis and Treatment: Pediatrics. 19th edition. New York, N.Y.: McGraw-Hill Medical; 2009. http://www.accessmedicine.com/content.aspx?aID=3407273. Accessed July 24, 2009.
- Wilms' tumor and other childhood kidney tumors (health professional version). National Cancer Institute. Accessed July 22, 2009.
- Chintagumpala M. Treatment and prognosis of Wilms' tumor. http://www.uptodate.com/home/index.html. Accessed July 10, 2009.