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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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Source of Support: None, Conflict of Interest: None


PMID: 20427881

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Cystic nephroma (CN) is a rare benign neoplasm of kidney with excellent prog­nosis. An accurate pre-operative diagnosis differentiating CN from other cystic renal malignan­cies may be impossible by clinical and radiological examination, and histopathological exami­nation 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 ho­neycomb 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 mic­roscopy. Tumor diameter on cross sectional imaging remains the key parameter for treatment de­cisions in renal neoplasms, with nephrectomy being preferred for larger lesions.


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