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Multilocular Cystic Nephroma. Kidney Disease Difficult To Diagnose Before Surgery: A Case Report
S Open Access Open Journals Publishing SOAOJ, 2020
Cystic nephroma is a benign renal lesion. It is a benign and rare cystic tumor of the kidney whose diagnosis needs renal specimen after nephrectomy. We report an observation of 62-year-old woman, obese with a history of type 2 diabetes who consults for left lumbar pain without hematuria. The examination found no lumbar contact or signs of urinary tract infection. The first exploration by an abdominal echotomographic shows the existence of an inferior medieval and polar lesion of 84mm of the large axis, heterogeneous with multiple anechoic zones within it of small sizes. The interpretation made by the radiologist retained 3 possible diagnoses, namely: a renal mass suspected of malignancy, a heterogeneous multicystic lesion and a hydatid cyst stage III of Gerbi. The computed tomography found a heterodyne left medieval tumor process and lower polar poorly limited with several areas of necrosis of 80mm of large diameter taking the contrast and interpreted as a malignant lesion, without hilar lymphadenopathies or retroperitoneal visible. The rest of the extension balance sheet was free of anomalies. Hydatid serology was performed and returned negative. The patient was operated on with the diagnosis of kidney cancer. The intraoperative exploration showed the existence of a left kidney increased in volume in its compartment, the accidental break-in of the latter allowed even the multilocular cystic appearance of small infracentimetric sizes of this lesion. An enlarged total nephrectomy was realized. Macroscopic examination of the part reveals a kidney carrying multiple cystic lesions arranged one against the other without nephrogenic tissue in the septic letting out a clear liquid. The pathology study showed the appearance of a multilocular cystic nephroma. Our patient is alive at 48months and in well health.
Background: Cystic nephroma It is a benign lesion that can mimic a malignant tumor of the kidney.
Cystic nephroma: a case report and review of the literature
Cases Journal, 2008
The spectrum of cystic renal neoplasms includes both benign and malignant tumors and the order is as follows: benign multilocular cyst, multilocular cystic renal cell cancer and cystic renal cell cancer. Gross similarities among multicystic tumors of the kidney may cause conflict in the diagnosis and treatment of these lesions.
Bilateral multilocular cystic nephromas: a rare occurrence
British Journal of Radiology, 2005
We present a rare case of bilateral renal cystic tumours in an 18-month-old female child, which proved to be cystic nephromas on imaging and histopathology. Although unilateral cystic nephromas are known in children; the occurrence of bilateral tumours is rare.
Adult Multiloculated Cystic Nephroma: A Case Report
The journal of Tepecik Education and Research Hospital, 2020
A 71-year old women who underwent radical nephrectomy due to left renal mass is presented. The histopathological examination was reported as adult cystic nephroma, which is very seldom benign tumour of the kidney. The epidemiology, differential diagnosis, histopathological features,and treatment options are discussed.
Multilocular Cystic Nephroma in a Child: A Rare Case
Multilocular cystic nephroma (MLCN) is classically described as a benign slow-growing renal tumor. The aim of this study was to evaluate MLCN in a child in the West of Iran. The ultrasound examination showed a multicystic mass measuring 6.6x6.5 cm with multiple internal septae in the middle and lower left kidney in a 19-month-old boy. Another sonography revealed multicystic mass 7.4x6.6cm in left renal pole with a diagnosis of multicystic nephroma. The lab data were within normal limits, except for hemoglobin level, that was 11.6 g/dl. The gross examination revealed kidney tissue measuring 10x8x7 cm including multiloculated cyst measuring up to 8 cm and the microscopic examination revealed multiple cysts lined by flat epithelium with spindle cell stroma containing abortive tubular elements and rare foci of small round cells. In conclusion, MLCN occures more in male children and female adults. The results showed that low hemoglobin level had association with some cases of MLCN. Inflammation may be seen in MLCN, but presence of any amount of blastemal cells is diagnosed as cystic partially differentiated nephroblastoma by most experts.
Benign multilocular cyst or multilocular cystic nephroma in adults: three case reports
Indian Journal of Surgery, 2007
Multilocular cystic nephroma is an unusual entity of uncertain etiology that typically arises from the renal parenchyma. We report three such cases in adult females, in their fourth and fi fth decades. Since existing imaging modalities cannot defi nitely exclude the possibility of multilocular cystic renal cell carcinoma these patients should undergo surgery. Keywords Cystic nephroma . Multilocular cyst . Cystic Wilm's tumour . Cystic Renal cell carcinoma . Key Messages Mutlilocular Cystic nephroma in adults is diffi cult to diagnose preoperatively with CT scan and ultrasound. Most often patient has to undergo radical surgery as possibility of malignancy has to be ruled out. Histopathology examination makes the diagnosis absolutely certain.
Pediatric Multilocular Cystic Nephroma Extending into the Renal Pelvis and Ureter
Journal of Urological Surgery, 2014
Multilocular cystic nephroma (MCN) is a rare tumor at the most benign end of the spectrum of the multilocular cystic neplasms of kidney. Nephrectomy is curative for MCN. In this case-report, we present a 16-month-old girl with a 10x15 cm multilocular cystic renal tumor extending into the renal pelvis and proximal ureter on the right side demonstrated on magnetic resonance imaging. Nephrectomy was performed. The pathology was completely consistent with MCN.
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2017
A 28-year-old female, hailing from rural part of India, presented with a progressively increasing right abdomen lump with flank pain and haematuria for two years. On examination, the patient was of average built with a large visible right intra-abdominal mass extending from right subcostal region to the hypogastric region and crossing the midline and was firm, smooth, non-tender [Table/Fig-1]. On investigations, Hb was 12 gm% with normal renal and liver function tests. Radiological investigations showed a large multicystic right renal tumour extending from infrahepatic to hypogastric region on ultrasonography. Contrast enhanced CT scan showed a multicystic enhancing tumour of 31 x 19 x 19.6 cm size arising from right kidney. Thin strip of normal renal parenchyma was evident inferolateral to the tumour. The tumour was extending from sub hepatic region to the dome of bladder and from anterior to posterior abdominal wall sagitally. The tumour was crossing the midline and was pushing the duodenum, head of pancreas and IVC to the left [Table/Fig-2-4]. Right Renal vein was free of thrombus and Chest X ray was normal. The preoperative differential diagnosis was a multicystic Renal Cell Carcinoma (RCC, T2bN0M0) or a MLCN.