Wilm's Tumor

and Other Kidney Cancers Affecting Children

Treating children with kidney cancer requires a team approach to provide comprehensive care. At Duke Children's, our pediatric oncologists work with pediatric urologists and nephrologists to customize treatment for children with Wilms’ tumor and other kidney cancers. We offer support and assistance to help you and your family manage the practical and emotional aspects of your child's condition.

Expert Care for Your Child's Wilm’s Tumor

Childhood kidney cancers occur when immature cells in the kidneys grow out of control and form a tumor. Wilm's tumor is the most common type of kidney cancer in children. While it can affect both kidneys, it usually only develops in one. Other, less common kidney tumors include clear cell sarcoma, renal cell carcinoma, mesoblastic nephroma, and rhabdoid tumors.

Duke Children's kidney cancer specialists treat all types of kidney cancer, including rare or advanced kidney cancer. It's comforting to know your child has an experienced team on their side.

  • Our pediatric doctors are also researchers who collaborate with cancer specialists worldwide through the Children's Oncology Group, the world’s largest childhood and adolescent cancer research organization. That means your child gets the combined expertise of leading cancer researchers and has access to the latest treatments, including some of today’s most promising treatments through clinical trials.
  • Most children with a Wilm’s tumor or other kidney cancer need surgery. Our pediatric surgeons specialize in organ-sparing surgery that removes the tumor but leaves as much healthy kidney tissue as possible. Children who need an entire kidney removed can still lead a normal, healthy life.
  • You can be confident in our skill and experience. Duke Children’s is one of only seven hospitals in the U.S. verified as a level I children's surgery center by the American College of Surgeons. This Level I designation recognizes our commitment to providing the safest and highest-quality surgical care to our young patients.
  • You’ll receive clear information about your child's condition, treatment options, and side effects so you can make informed decisions. We offer a wide range of services to help -- emotional support for the entire family, care to minimize treatment side effects, help with coordinating your child’s care, and much more. We're here to support you and offer guidance whenever you need us.


Our doctors use a variety of blood, urine, and imaging tests to identify your child's kidney cancer, the tumor's location, and whether it’s spread to other parts of the body. Our initial testing helps doctors determine the best treatment approach for your child. Each type of kidney tumor requires a different treatment, and you child’s care plan may include one or more different approaches.

Family and Support Services

We treat the whole child -- not just the disease. Your child receives a personalized treatment and follow-up plan that’s tailored to their needs. You have access to a variety of services that are designed to make your child’s experience as positive as possible and support your family throughout treatment.

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