Lee Justin Scott, Sanchez Thomas Ray, Wootton-Gorges Sandra
Department of Radiology; Division of Pediatric Radiology, University of California, Davis Medical Center and Children's Hospital, Sacramento, CA, USA.
J Kidney Cancer VHL. 2015 May 10;2(3):84-89. doi: 10.15586/jkcvhl.2015.29. eCollection 2015.
Renal malignancies are common in children. While the majority of malignant renal masses are secondary to Wilms tumor, it can be challenging to distinguish from more aggressive renal masses. For suspicious renal lesions, it is crucial to ensure prompt diagnosis in order to select the appropriate surgical procedure and treatment. This review article will discuss the common differential diagnosis that can be encountered when evaluating a suspicious renal mass in the pediatric population. This includes clear cell sarcoma of the kidney, malignant rhabdoid tumor, renal medullary carcinoma and lymphoma.
肾恶性肿瘤在儿童中很常见。虽然大多数肾恶性肿块继发于肾母细胞瘤,但要将其与更具侵袭性的肾肿块区分开来可能具有挑战性。对于可疑的肾脏病变,确保及时诊断以选择合适的手术方法和治疗至关重要。这篇综述文章将讨论在评估儿科人群中可疑肾肿块时可能遇到的常见鉴别诊断。这包括肾透明细胞肉瘤、恶性横纹肌样瘤、肾髓质癌和淋巴瘤。