Red Flags of Fragkandrea et al for Cancer in a Pediatric Patient: Intra-abdominal and Genital Findings

 

Patient selection: pediatric patient

 

Abdominal and genital findings that may be red flags for an occult malignancy:

(1) hepatosplenomegaly

(2) palpable intra-abdominal mass with vomiting and/or constipation

(3) palpable intra-abdominal mass with hematuria, enuresis, urine retention and/or hypertension

(4) palpable intra-abdominal mass with abdominal pain

(5) persistent palpable intra-abdominal mass after the neonatal period

(6) persistent vomiting associated with morning headaches

(7) scrotal swelling or mass in male

(8) right sided varicocele in male

(9) urine retention or enuresis with neurologic deficits

 

The presence of one or more of these findings may identify a pediatric patient who may need a more complete evaluation to exclude an occult neoplasm.