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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2010  |  Volume : 21  |  Issue : 3  |  Page : 518-520
Cystic nephroma: A diagnostic dilemma


Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India

Correspondence Address:
Bhupendra Kumar Jain
Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi
India
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PMID: 20427881

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Cystic nephroma (CN) is a rare benign neoplasm of kidney with excellent prog要osis. An accurate pre-operative diagnosis differentiating CN from other cystic renal malignan苞ies may be impossible by clinical and radiological examination, and histopathological exami要ation provides the final diagnosis. This report describes two adult patients with large multi-locular cystic renal masses on imaging and the diagnosis of CN was clinched post-operatively by the ho要eycomb appearance of the cut specimen and the finding of multiple, non-communicating fluid filled cysts lined by cuboidal or flattened epithelial cells and absence of blastemal cells on mic訃oscopy. Tumor diameter on cross sectional imaging remains the key parameter for treatment de苞isions in renal neoplasms, with nephrectomy being preferred for larger lesions.


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