Metanephric adenoma of the kidney: an unusual diagnostic challenge

被引:11
作者
Obulareddy, Sri J. [1 ]
Xin, Junqing [1 ]
Truskinovsky, Alexander M. [2 ]
Anderson, James K. [3 ]
Franklin, Michael J. [1 ]
Dudek, Arkadiusz Z. [1 ]
机构
[1] Univ Minnesota, Sch Med, Div Hematol Oncol & Transplantat, Minneapolis, MN 55455 USA
[2] Univ Minnesota, Sch Med, Dept Pathol & Lab Med, Minneapolis, MN 55455 USA
[3] Univ Minnesota, Sch Med, Dept Urol Surg, Minneapolis, MN 55455 USA
关键词
metanephric adenoma; Wilm's tumor; papillary renal cell carcinoma; differential diagnosis;
D O I
10.4081/rt.2010.e38
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Although metanephric adenoma (MA) is a rare, benign neoplasm of epithelial cells, it is often difficult to distinguish this entity from other malignant neoplasms preoperatively. We report a case of a large renal mass for which preoperative diagnosis was indeterminate, with the differential diagnosis including Wilm's tumor, MA, and papillary renal cell carcinoma (PRCC). Accurate postoperative differentiation of MA from PRCC is critical because adjuvant therapy is considered after surgical resection of PRCC tumors.
引用
收藏
页码:103 / 105
页数:3
相关论文
共 15 条
[1]   Renal Adenomas: Pathological Differential Diagnosis with Malignant Tumors [J].
Algaba, F. .
ADVANCES IN UROLOGY, 2008, 2008
[2]   Prognostic impact of histologic Subtyping of adult renal epithelial neoplasms - An experience of 405 cases [J].
Amin, MB ;
Amin, MB ;
Tamboli, P ;
Javidan, J ;
Stricker, H ;
Venturina, MD ;
Deshpande, A ;
Menon, M .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2002, 26 (03) :281-291
[3]   Metanephric neoplasms: The hyperdifferentiated, benign end of the Wilms tumor spectrum? [J].
Argani, P .
CLINICS IN LABORATORY MEDICINE, 2005, 25 (02) :379-+
[4]   Metanephric adenoma of the kidney: clinical and radiological study of nine cases [J].
Bastide, Cyrille ;
Rambeaud, Jean-Jacques ;
Bach, Ariadne M. ;
Russo, Paul .
BJU INTERNATIONAL, 2009, 103 (11) :1544-1548
[5]   Metanephric adenoma lacks the gains of chromosomes 7 and 17 and loss of Y that are typical of papillary renal cell carcinoma and papillary adenoma [J].
Brunelli, M ;
Eble, JN ;
Zhang, SB ;
Martignoni, G ;
Cheng, L .
MODERN PATHOLOGY, 2003, 16 (10) :1060-1063
[6]   Metanephric adenoma of the kidney: a clinicopathological and molecular study of two cases [J].
Burger, Maximilian ;
Junker, Kerstin ;
Denzinger, Stefan ;
Schubert, Thomas ;
Stoehr, Robert ;
Wieland, Wolf-Ferdinand ;
Hartmann, Arndt .
JOURNAL OF CLINICAL PATHOLOGY, 2007, 60 (07) :832-834
[7]   METANEPHRIC ADENOMA - CLINICOPATHOLOGICAL STUDY OF 50 PATIENTS [J].
DAVIS, CJ ;
BARTON, JH ;
SESTERHENN, IA ;
MOSTOFI, FK .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1995, 19 (10) :1101-1114
[8]  
Granter SR, 1997, AM J CLIN PATHOL, V108, P544
[9]   Malignant mixed epithelial and stromal tumours of the kidney: a report of the first two cases with a fatal clinical outcome [J].
Nakagawa, T ;
Kanai, Y ;
Fujimoto, H ;
Kitamura, H ;
Furukawa, H ;
Maeda, S ;
Oyama, T ;
Takesaki, T ;
Hasegawa, T .
HISTOPATHOLOGY, 2004, 44 (03) :302-304
[10]   Alpha-methylacyl-CoA racemase as a marker in the differential diagnosis of metanephric adenoma [J].
Olgac, S ;
Hutchinson, B ;
Tickoo, SK ;
Reuter, VE .
MODERN PATHOLOGY, 2006, 19 (02) :218-224