However, we advise that any pediatric biopsy, obtained from the retroperitoneum and showing both nuclear and cytoplasmic WT1 positivity (antibodies directed against the N-terminus WT1 protein: clone WT6F-H2) along with CD56 immunostaining, should alert the pathologist to include Wilms’ tumor in the differential diagnosis, especially in the absence of other conventional markers (CD99, NB84, TdT). This evidence concerns the gene NCAM1 and Wilms tumor.