<prompt> The most common presentation of a child with Wilms tumor is:As asymptomatic abdominal massHematuriaHypertensionHemoptysis due to pulmonary secondary  <response>: a. As asymptomatic abdominal massRef: Nelsons 20e p 2466Most common initial clinical presentation for WT is incidental discovery of an asymptomatic abdominal mass by parents while bathing or clothing an affected child or by a physician during a routine physical examination;Hypertension is present in 25 of tumors at presentation and has been attributed to increased renin activity.Abdominal pain, gross painless hematuria, and fever are other frequent findings at diagnosis. 