Renal cystic tumours in children--a diagnostic challenge.
A series of 8 cystic renal tumours is reported in seven-months to four-years-old children. The final diagnosis was cystic nephroma (multilocular cyst) in 4, cystic, partially differentiated nephroblastoma in 3 and partially cystic nephroblastoma in one. Pre-operative distinction between those three types is difficult and inadequate therapeutic approach may result from a wrong diagnosis. Progress in imaging techniques allows a better analysis of cysts and septa. If no solid part can be detected in the tumour, total nephrectomy is sufficient to obtain a favourable outcome.
Clinique Chirurgiscale Infantile, C.H.R.U. Pontchaillou, Rennes, France.
J M
JM
Babut
F
F
Bawab
H
H
Jouan
P
P
Coeurdacier
C
C
Treguier
B
B
Fremond
D017024:Chemotherapy, Adjuvant; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007223:Infant; D007668:Kidney / Q000473:pathology; D052177:Kidney Diseases, Cystic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D009396:Wilms Tumor / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery