Schumacher K, Heimbach D, Brühl P
Department of Pediatric Urology, University of Bonn, Germany.
Eur J Pediatr Surg. 1997 Apr;7(2):115-7. doi: 10.1055/s-2008-1071068.
Nephrogenic adenoma in children is an extremely rare kind of tumor (22 cases have been described to date). We report and discuss here the case of a 7-year-old girl, taking into account the findings described in medical literature. In contrast to nephrogenic adenomas in adults, who present with this tumor in the entire ureteral tract, it has been observed exclusively in the bladder in children so far. The most frequent predisposing factors for the development of this tumor are extensive surgical injury such as ureter reimplantation or long-term stimuli on the urothelium caused by a foreign body. Diagnosis primarily includes sonography of the urinary tract and cystoscopy. Transurethral resection is regarded as the treatment of choice. Owing to the frequency of persistence, control cystoscopies after primary therapy are necessary.
儿童肾源性腺瘤是一种极为罕见的肿瘤(迄今为止已报道22例)。我们在此报告并讨论一名7岁女孩的病例,并参考医学文献中的研究结果。与成人肾源性腺瘤可出现在整个输尿管 tract不同,迄今为止在儿童中仅在膀胱中观察到该肿瘤。该肿瘤发生的最常见诱发因素是广泛的手术损伤,如输尿管再植术,或异物对尿路上皮的长期刺激。诊断主要包括尿路超声检查和膀胱镜检查。经尿道切除术被视为首选治疗方法。由于复发频率较高,初次治疗后进行膀胱镜检查以进行监测是必要的。