误导性线索：肾母细胞瘤伴异时性病变出现在剩余肾脏中。

Misleading leads: Wilms tumor with a metachronous lesion appearing in the remaining kidney.

作者信息

Hilden J M, Brennom W S, Wolpert J J, Beckwith J B

出版信息

Med Pediatr Oncol. 1998 Mar;30(3):180-2. doi: 10.1002/(sici)1096-911x(199803)30:3<180::aid-mpo11>3.0.co;2-r.

DOI:10.1002/(sici)1096-911x(199803)30:3<180::aid-mpo11>3.0.co;2-r

Abstract

Medullary dysplasia may be present in the kidneys of children with the Beckwith-Wiedemann Syndrome (BWS). This is usually visible only at the microscopic level, but superimposed pyelonephritis in a child with the BWS led to gross changes that produced a filling defect on CT scanning of the remaining kidney. The finding could have been misinterpreted as a metachronous wilms tumor.

摘要

髓质发育异常可能存在于患有贝克威思-维德曼综合征（BWS）的儿童肾脏中。这通常仅在显微镜下可见，但患有BWS的儿童发生的叠加肾盂肾炎导致了肉眼可见的变化，在剩余肾脏的CT扫描上产生了充盈缺损。该发现可能被误interpreted为异时性肾母细胞瘤。（注：原文中“misinterpreted”拼写有误，正确拼写应为“misinterpreted” ）