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Difference between revisions of "Localized cystic disease of the kidney"
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Localized cystic disease of the kidney (view source)
Revision as of 20:30, 8 November 2017
, 20:30, 8 November 2017→See also: +SO
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| Syndromes = | | Syndromes = | ||
| Clinicalhx = | | Clinicalhx = | ||
| Signs = +/-hematuria | | Signs = +/-hematuria (uncommon), often [[incidentaloma]] | ||
| Symptoms = abdominal pain - due to mass effect | | Symptoms = abdominal pain - due to mass effect | ||
| Prevalence = very rare | | Prevalence = very rare | ||
| Line 75: | Line 75: | ||
**[[Multilocular cystic renal neoplasm of low malignant potential]] - previously known as ''[[multilocular cystic renal cell carcinoma]]''. | **[[Multilocular cystic renal neoplasm of low malignant potential]] - previously known as ''[[multilocular cystic renal cell carcinoma]]''. | ||
*Hereditary [[cystic renal disease]], e.g. [[autosomal dominant polycystic kidney disease]]. | *Hereditary [[cystic renal disease]], e.g. [[autosomal dominant polycystic kidney disease]]. | ||
==Sign out== | |||
<pre> | |||
Left Kidney, Radical Nephrectomy: | |||
- Localized cystic disease of the kidney, see microscopic description. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
===Micro=== | |||
The sections show multiple large cortical cysts. There is relative sparing of the parenchyma in the lower pole. The cyst walls are fibrotic, contain parenchymal remnants and have foci of calcifications. The cyst lining consists of flatted epithelium without appreciable cytoplasm. No cyst lining cell atypia is present. The cyst lining cells are POSITIVE for AE1/AE3 and NEGATIVE for CD34. | |||
Comment: | |||
It is noted that the contralateral kidney is unremarkable on imaging. The findings are in keeping with localized cystic disease of the kidney, a rare benign finding that can mimic a tumour.[1] | |||
1. Am J Surg Pathol 37 (4): 506-13. doi:10.1097/PAS.0b013e318271eff9. PMID: 23211292. | |||
==See also== | ==See also== | ||