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Multicystic nephroma in an elderly man. Case report
E Falidas1, A Ntasi, S Mathioulakis
1417 NIMTS Hospital, Athens, Greece.
Il Giornale Di Chirurgia
|January 6, 2012
Summary
Multicystic nephroma, a rare kidney tumor, presents differently in children and adults. This case highlights successful nephrectomy for an adult multicystic nephroma causing flank pain and infections.
Area of Science:
- Urology
- Nephrology
- Oncology
Background:
- Multicystic nephroma is a rare renal tumor with uncertain histological origins.
- Clinical presentation varies, with abdominal mass in children and flank pain, hematuria, or UTIs in adults.
- Preoperative diagnosis is challenging, particularly in adults, often mimicking clear cell carcinoma with cystic degeneration.
Observation:
- A 77-year-old male presented with flank abdominal pain and recurrent urinary tract infections.
- Imaging revealed a right-sided multicystic nephroma.
Findings:
- The patient underwent successful nephrectomy for the right-sided multicystic nephroma.
- Histological confirmation of multicystic nephroma was achieved post-surgery.
Implications:
- This case underscores the importance of considering multicystic nephroma in adult patients with unexplained flank pain and recurrent UTIs.
- Nephrectomy remains an effective treatment for symptomatic multicystic nephroma.
- Further research into the histological origins and diagnostic markers of multicystic nephroma is warranted.
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