Cystic nephroma in pediatrics

Abstract: Introduction: Cystic nephroma is a rare benign renal tumor of uncertain etiology. In children, it can manifest as a palpable abdominal mass, hematuria, and recurrent urinary infections. Imaging tests such as ultra sound and computed tomography assist in the diagnosis, but confirmation is...

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Autores principales: De Souza,Leonardo M. F., De Q. Turíbio,Débora D. C., De Souza,Jeovana P. F., Oliveira,Raiane S., Lopes,Isadora C., Da C. Dantas,Ana K., Cruz,Thais M., De Azevedo,Fabio M.
Lenguaje:English
Publicado: Sociedad Chilena de Pediatría. 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S2452-60532021005000714
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spelling oai:scielo:S2452-605320210050007142021-10-07Cystic nephroma in pediatricsDe Souza,Leonardo M. F.De Q. Turíbio,Débora D. C.De Souza,Jeovana P. F.Oliveira,Raiane S.Lopes,Isadora C.Da C. Dantas,Ana K.Cruz,Thais M.De Azevedo,Fabio M. Cystic Nephroma Benign Renal Tumor Multilocular Cyst Pediatrics Abstract: Introduction: Cystic nephroma is a rare benign renal tumor of uncertain etiology. In children, it can manifest as a palpable abdominal mass, hematuria, and recurrent urinary infections. Imaging tests such as ultra sound and computed tomography assist in the diagnosis, but confirmation is made through anatomopathological study. Treatment is surgical and may be partial or total nephrectomy, with a good prognosis. Objective: To report a rare case of pediatric cystic nephroma, its clinical manifestations, radiological and histopathological aspects, as well as the treatment used and its evolution. Clinical Case: Pre-school, male, with a history of recurrent urinary infections in the first year of life. At 2 years and 8 months, he presented nodulation in the right hypochondrium with local pain on palpation, associated with urinary disorders and hematuria. An ultrasonography showing enlarged right kidney due to multiseptated cystic formation. Computed tomography showing multiloculated cystic expan sive formation in the right kidney. At 2 years and 10 months, he underwent partial right nephrec tomy for excision and anatomopathological study, which was compatible with Cystic Nephroma. He evolved with regression of hematuria and recurrent episodes of urinary infections, maintaining renal function preserved. Currently, at 4 years and 6 months, asymptomatic. Conclusions: Cystic nephro ma is a rare entity, generally with a good prognosis. The association of clinical findings, radiological images, and anatomopathological study are fundamental for the establishment of diagnosis and a better definition of therapeutic conduct.info:eu-repo/semantics/openAccessSociedad Chilena de Pediatría.Andes pediatrica n.ahead 20212021-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S2452-60532021005000714en10.32641/andespediatr.v92i5.2622
institution Scielo Chile
collection Scielo Chile
language English
topic Cystic Nephroma
Benign Renal Tumor
Multilocular Cyst
Pediatrics
spellingShingle Cystic Nephroma
Benign Renal Tumor
Multilocular Cyst
Pediatrics
De Souza,Leonardo M. F.
De Q. Turíbio,Débora D. C.
De Souza,Jeovana P. F.
Oliveira,Raiane S.
Lopes,Isadora C.
Da C. Dantas,Ana K.
Cruz,Thais M.
De Azevedo,Fabio M.
Cystic nephroma in pediatrics
description Abstract: Introduction: Cystic nephroma is a rare benign renal tumor of uncertain etiology. In children, it can manifest as a palpable abdominal mass, hematuria, and recurrent urinary infections. Imaging tests such as ultra sound and computed tomography assist in the diagnosis, but confirmation is made through anatomopathological study. Treatment is surgical and may be partial or total nephrectomy, with a good prognosis. Objective: To report a rare case of pediatric cystic nephroma, its clinical manifestations, radiological and histopathological aspects, as well as the treatment used and its evolution. Clinical Case: Pre-school, male, with a history of recurrent urinary infections in the first year of life. At 2 years and 8 months, he presented nodulation in the right hypochondrium with local pain on palpation, associated with urinary disorders and hematuria. An ultrasonography showing enlarged right kidney due to multiseptated cystic formation. Computed tomography showing multiloculated cystic expan sive formation in the right kidney. At 2 years and 10 months, he underwent partial right nephrec tomy for excision and anatomopathological study, which was compatible with Cystic Nephroma. He evolved with regression of hematuria and recurrent episodes of urinary infections, maintaining renal function preserved. Currently, at 4 years and 6 months, asymptomatic. Conclusions: Cystic nephro ma is a rare entity, generally with a good prognosis. The association of clinical findings, radiological images, and anatomopathological study are fundamental for the establishment of diagnosis and a better definition of therapeutic conduct.
author De Souza,Leonardo M. F.
De Q. Turíbio,Débora D. C.
De Souza,Jeovana P. F.
Oliveira,Raiane S.
Lopes,Isadora C.
Da C. Dantas,Ana K.
Cruz,Thais M.
De Azevedo,Fabio M.
author_facet De Souza,Leonardo M. F.
De Q. Turíbio,Débora D. C.
De Souza,Jeovana P. F.
Oliveira,Raiane S.
Lopes,Isadora C.
Da C. Dantas,Ana K.
Cruz,Thais M.
De Azevedo,Fabio M.
author_sort De Souza,Leonardo M. F.
title Cystic nephroma in pediatrics
title_short Cystic nephroma in pediatrics
title_full Cystic nephroma in pediatrics
title_fullStr Cystic nephroma in pediatrics
title_full_unstemmed Cystic nephroma in pediatrics
title_sort cystic nephroma in pediatrics
publisher Sociedad Chilena de Pediatría.
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S2452-60532021005000714
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