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    Subjects/Pediatrics/Wilms Tumor and Neuroblastoma
    Wilms Tumor and Neuroblastoma
    medium
    smile Pediatrics

    A 3-year-old boy from rural Maharashtra presents with a firm, non-tender abdominal mass noticed by his mother during bathing. Ultrasound shows a 6 cm heterogeneous mass in the left kidney with normal renal vasculature. There are no distant metastases on chest X-ray or abdominal CT. The child is otherwise well with normal blood pressure and no hematuria. What is the most appropriate next step in management?

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