Samha Raghad, Mansour Marah, AlAwad Yara, Almaalouli Bsher, Mayhoob Reema, Al Sabbagh Aliaa, Aljundi Rama, Barakat Ali
Faculty of Medicine, AlBaath University, Homs.
Faculty of Medicine, Tartous University.
Ann Med Surg (Lond). 2023 Oct 11;85(12):6159-6163. doi: 10.1097/MS9.0000000000001364. eCollection 2023 Dec.
Congenital mesoblastic nephroma is the most common renal tumor in children under the age of 6 months, comprising 3-10% of all kidney tumors in children. It is a rare and mostly benign tumor. It divides into cellular, classic, and mixed subtypes. It is typically detected in the third trimester of pregnancy using ultrasonography and magnetic resonance imaging. The best treatment is surgically by completely removing the tumor.
We reported a case of a one-day-old female who was born at 31 weeks gestation weighing 1670 g. Preterm labor was due to polyhydramnios, which was diagnosed predelivery. A large mass was detected in the left hypochondrium using computerized tomography, total nephrectomy was performed, and the histopathological examination of the specimen confirmed the diagnosis of congenital mesoblastic nephroma.
Early polyhydramnios could be the most significant sign of renal tumors in infants, especially congenital mesoblastic nephroma.
先天性中胚层肾瘤是6个月以下儿童最常见的肾肿瘤，占儿童所有肾肿瘤的3% - 10%。它是一种罕见且大多为良性的肿瘤。分为细胞型、经典型和混合型亚型。通常在妊娠晚期通过超声和磁共振成像检测到。最佳治疗方法是手术完全切除肿瘤。
我们报告了一例1日龄女性，孕31周出生，体重1670克。早产是由于羊水过多，产前已诊断。通过计算机断层扫描在左季肋部检测到一个大肿块，进行了全肾切除术，标本的组织病理学检查证实了先天性中胚层肾瘤的诊断。
早期羊水过多可能是婴儿肾肿瘤尤其是先天性中胚层肾瘤的最重要体征。
