Liniger Benjamin, Wolf Rainer Walter, Fleischmann Achim, Kluwe Wolfram
Department for Paediatric Surgery, Inselspital, University of Berne, 3010 Berne, Switzerland.
J Pediatr Surg. 2009 Aug;44(8):E21-3. doi: 10.1016/j.jpedsurg.2009.05.028.
Metanephric adenoma (MA) is a rare renal neoplasm present at any age. Usually, a total nephrectomy is performed. Some successful partial nephrectomies or selective tumor resections are described in adults but not in children. We present here the case of a 15-month-old boy, the youngest patient yet to be reported with an MA. We performed a local resection of the tumor. Today, 2 1/2 years after surgery, we can document a favorable clinical course and normal ultrasound findings in the follow-up of the operated kidney. This case gives further evidence that organ-sparing resection of MA is feasible in selected cases. A close clinical and ultrasound follow-up is mandatory for this approach.
后肾腺瘤（MA）是一种在任何年龄都可出现的罕见肾脏肿瘤。通常会进行全肾切除术。在成人中描述了一些成功的部分肾切除术或选择性肿瘤切除术，但在儿童中尚未见报道。我们在此介绍一名15个月大男孩的病例，他是迄今报道的患MA最年幼的患者。我们对肿瘤进行了局部切除。如今，在手术后2年半，我们可以记录到手术肾脏在随访中的良好临床过程和正常超声检查结果。该病例进一步证明，在选定病例中保留器官切除MA是可行的。对于这种方法，密切的临床和超声随访是必不可少的。
