Local resection of metanephric adenoma with kidney preservation.
Metanephric adenoma (MA) is a rare renal neoplasm present at any age. Usually, a total nephrectomy is performed. Some successful partial nephrectomies or selective tumor resections are described in adults but not in children. We present here the case of a 15-month-old boy, the youngest patient yet to be reported with an MA. We performed a local resection of the tumor. Today, 2 1/2 years after surgery, we can document a favorable clinical course and normal ultrasound findings in the follow-up of the operated kidney. This case gives further evidence that organ-sparing resection of MA is feasible in selected cases. A close clinical and ultrasound follow-up is mandatory for this approach.
Liniger
Benjamin
B
Department for Paediatric Surgery, Inselspital, University of Berne, 3010 Berne, Switzerland.
Wolf
Rainer Walter
RW
Fleischmann
Achim
A
Kluwe
Wolfram
W
D000236:Adenoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D014463:Ultrasonography