title: Extrarenal nephroblastomatosis in children: a report of two cases.
abstract: BACKGROUND
  Extrarenal nephroblastomatosis is a rare entity which occurs in retroperitoneum and inguinal region predominantly. Here we report two cases of primary extrarenal nephroblastomatosis of Han Chinese in Asian in unusual locations, one is located in testis and paratestis, and the other is paraspinal cord.
  
  
  METHODS
  Patient 1 was a 19-month-old boy with a hard and nodular mass adherent to the left testis in inguinal region. Patient 2 was a 9-month-old boy with a 1 × 0.7 × 0.4 cm mass in spinal canal at the midline thoracolumbar region. Histological examinations of the two patients after operations revealed extrarenall nephroblastomatosis with multiple nephrogenic foci, composed of immature glomeruli, tubules and blastemal cells.Then the patients were closely monitored without adjuvant chemotherapy, and has been alive and well without any recurrence for >6 months.
  
  
  CONCLUSIONS
  Most nephrogenic rests remain subclinical, and thus, complete excision of the lesion with conservative treatment is recommended. Otherwise, nephrogenic rests are close associated with Wilms tumor and regular follow-up is required to ensure early detection of malignant transformation.
authors.forename: Yi
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Pathology, Soochow University Affiliated Children's Hospital, Jiangsu 215003, China. xueming_zhu@aliyun.com.
authors.forename: Xueming
authors.initials: X
authors.lastname: Zhu
authors.forename: Xingdong
authors.initials: X
authors.lastname: Wang
authors.forename: Hangzhou
authors.initials: H
authors.lastname: Wang
authors.forename: Xu
authors.initials: X
authors.lastname: Cao
authors.forename: Jian
authors.initials: J
authors.lastname: Wang
mesh_terms: D006801:Humans; D007223:Infant; D008297:Male; D011230:Precancerous Conditions / Q000473:pathology* / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000473:pathology* / Q000601:surgery; D013736:Testicular Neoplasms / Q000473:pathology* / Q000601:surgery; D009396:Wilms Tumor / Q000473:pathology* / Q000601:surgery