Ciftci A O, Talim B, Senocak M E, Kaymaz F, Cağlar M, Büyükpamukçu N
Department of Pediatric Surgery, Hacettepe University Medical Faculty, Ankara, Turkey.
J Pediatr Surg. 2000 Sep;35(9):1396-8. doi: 10.1053/jpsu.2000.9351.
Renal oncocytoma is one of the most unusual benign lesions, which presents as a complicated mass resulting in a diagnostic and therapeutic dilemma. A new case of renal oncocytoma in a 13-year-old boy is presented. The clinocopathologic features of this rare entity are discussed, with special emphasis on diagnosis and treatment. There are no specific presumptive clinical and laboratory findings, including tumor markers, ploidy analysis, and imaging techniques that distinguish oncocytoma from other renal masses. The most important diagnostic aid is to bear this entity in mind when a child presents with an unexplained renal mass. Frozen section biopsies followed by partial nephrectomy are mandatory for the appropriate treatment after excluding bilateral or multifocal occurrence.
肾嗜酸细胞瘤是最不寻常的良性病变之一，表现为复杂的肿块，导致诊断和治疗困境。本文报告一名13岁男孩的肾嗜酸细胞瘤新病例。讨论了这种罕见实体的临床病理特征，特别强调了诊断和治疗。没有特异性的临床和实验室检查结果，包括肿瘤标志物、倍体分析和成像技术，可将嗜酸细胞瘤与其他肾肿块区分开来。最重要的诊断辅助手段是当儿童出现不明原因的肾肿块时考虑到这种实体。在排除双侧或多灶性病变后，冰冻切片活检后行部分肾切除术是适当治疗的必要手段。
