NEFROMA QUISTICO MULTILOCULADO. UN RETO DIAGNOSTICO Y TERAPEUTICO, A PROPOSITO DE DOS CASOS

Juan Pedro Morga Egea, Luis Oscar Fontana Compiano, Francisco Martínez, Felipe García García, Andrés Sempere Gutierrez, José Luis Rico Galiano, Mariano Tomás Ros

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Archivos Españoles de Urología ›› 2004, Vol. 57 ›› Issue (4) : 431-434.
Case Report

NEFROMA QUISTICO MULTILOCULADO. UN RETO DIAGNOSTICO Y TERAPEUTICO, A PROPOSITO DE DOS CASOS

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Abstract

OBJECTIVES: Multilocular cystic nephroma is arare benign entity grouped among the cystic non-genetic diseases,which usually presents with a clinical picture and radiologicalfeatures indistinguishable from malignant neoplasias, makingimpossible to rule out malignancy preoperatively.METHODS: We report two cases of multilocular cystic nephromawhich were treated with different surgical attitudes despitetheir clinical and radiological similarities, because on thesecond case intraoperative pathologic study of the specimenwas performed.RESULTS: The diagnosis of multilocular cystic nephroma wasconfirmed in both cases, with the difference that radicalnephrectomy was performed in the first case whereas theintraoperative study of the tumor in the second allowed to performtumorectomy with renal parenchyma preservation.CONCLUSIONS: We consider that in the presence of amultiloculated renal mass of complex appearance and benignclinical behavior, the intraoperative study of the tumor willavoid performance of radical surgery.

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Multiloculated cystic nephroma / Preoperativediagnosis / Intraoperative study

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Juan Pedro Morga Egea , Luis Oscar Fontana Compiano , Francisco Martínez , Felipe García García , Andrés Sempere Gutierrez , José Luis Rico Galiano , Mariano Tomás Ros. NEFROMA QUISTICO MULTILOCULADO. UN RETO DIAGNOSTICO Y TERAPEUTICO, A PROPOSITO DE DOS CASOS. Archivos Españoles de Urología. 2004, 57(4): 431-434

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