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Cystic nephroma: morphologic spectrum and implications.

F Gonzalez-Crussi, J M Kidd, R J Hernandez

|July 1, 1982

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Cystic nephroma, a rare pediatric kidney tumor, shares features with Wilms tumor. This finding suggests nephrectomy is the preferred treatment for these multiloculated cystic renal masses.

Area of Science:

Pediatric Oncology
Renal Pathology
Surgical Oncology

Background:

Multiloculated cystic masses in children can present diagnostic challenges.
Distinguishing benign cystic lesions from malignant renal tumors is crucial for appropriate management.

Purpose of the Study:

To histopathologically evaluate multiloculated cystic renal masses in a pediatric cohort.
To determine the relationship between cystic nephroma and other pediatric renal tumors, particularly Wilms tumor.

Main Methods:

Review of 216 primary pediatric renal tumors.
Histopathological analysis of 6 cases diagnosed as cystic nephroma.
Comparison of tissue components with known renal tumor classifications.

Main Results:

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Six cases of cystic nephroma were identified among pediatric renal tumors.
Two cases showed entirely mature tissues; four contained primitive or embryonic tissues.
One case exhibited a nodule of Wilms tumor within the cystic mass, indicating a close structural similarity.

Conclusions:

Cystic nephroma exhibits closer structural similarities to nephroblastoma (Wilms tumor) than to cystic malformations.
Nephrectomy is recommended as the treatment of choice for preoperatively diagnosed multiloculated cystic renal masses.
No metastases or local recurrence have been reported for cystic nephroma.