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Growing Renal Mass: Lessons Learned on the Road From an Atypical Presentation to Successful Therapy

机译:不断增长的肾脏肿块:从非典型演讲到成功治疗的道路上汲取的教训

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A 25 4/7 week boy was born with a prenatal diagnosis of polyhydramnios and enlarged left kidney. Over the next 2 months serial ultrasounds demonstrated abnormal growth of the kidney, with 28.9% split function. At gestational age 39 4/7, he underwent a left radical nephrectomy. Pathology revealed congenital mesoblastic nephroma with mixed classic and cellular features. This case was puzzling due to prenatally diagnosed renal enlargement in a premature infant and inconclusive post-natal ultrasonographic imaging. Although the patient had paraneoplastic signs of polyhydramnios and hypertension, the mass did not have a classic appearance of CMN; possibly due to severe prematurity.
机译:一个25 4/7周的男孩出生,产前诊断为羊水过多,左肾增大。在接下来的2个月中,连续超声显示肾脏异常生长,分裂功能达到28.9%。在39 4/7的孕周,他接受了左根肾切除术。病理显示先天性中胚层肾瘤具有混合的经典和细胞特征。由于早产儿的产前诊断肾脏肿大和不确定的产后超声检查,此病例令人困惑。尽管该患者有羊水过多和高血压的副肿瘤性体征,但肿块并没有典型的CMN外观。可能是由于严重的早产。

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