Cystic Partially Differentiated Nephroblastoma (CPDN): A Rare Variant of Wilms' Tumor

Authors

  • Supatra Chareekaew Department of Surgery, Queen Sirikit National Institute of Child Health (Children's Hospital), Bangkok, Thailand
  • Watanasak Petlek Department of Surgery, Queen Sirikit National Institute of Child Health (Children's Hospital), Bangkok, Thailand

Abstract

Cystic partially differentiated nephroblastoma (CPDN) is a rare variant of Wilms' tumor (nephroblastoma). It is an unusual neoplasm with a well-differentiated cystic lesion of the kidney. We herein report a case of a 4 month old boy presented with abdominal distension and left flank mass. Abdominal radiograms showed soft tissue haziness in the left side of the abdomen with no calcification. Abdominal ultrasonograms revealed a large multiseptated cystic mass involving most of the left kidney. CT scan of the abdomen showed a 6X7 cm hypodensed mass with well-defined septa of the left kidney. There was no extension of the tumor to the renal capsule and the lymph nodes showed reactive changes. Left nephrectomy was performed. The pathological diagnosis was cystic partially differentiated nephroblastoma (CPDN). Post-operative course was uneventful and the patient has been doing well since.

References

1. Blakely ML, Shamberger RC, Norkool P, et al. Outcome of children with cystic partially differentiated nephroblastoma treated with and without chemotherapy. J Pediatr Surg 2003;38: 897-900.

2. Joshi W, Beckwith JB. Multilocular cyst of the kidney (cystic nephroma) and cystic partially differentiated nephroblastoma; terminology and criteria for diagnosis, Cancer 1989;64:466-79.

3. Singh S, Gupta R, Khurana N, Cystic partially differentiated nephroblastoma: a rare differentiated variant of Wilm's tumour. J Postgrad Med 2006; 52: 45-6.

4. Rajangam K, Narasimhan KL, Trehan A, et al. Partial nephrectomy in cystic partially differentiated nephroblastoma. J Pediatr Surg 2000; 35: 897-900.

5. Powell T, Shackman R, Johnson HD. Multilocular cysts of the kidney. Br J Urol 1951; 23: 142-52.

6. Joshi V, Baneriee AK, Yadav K, et al. Cystic partially differentiated nephroblastoma. Cancer 1977; 40: 789-95.

7. Joshi v, Beckwith JB. Pathologic delineation of the papillonodular type of cystic partially differentiated nephroblastoma: a review of 11 cases. Cancer 1990; 66:1568-77.

8. Sonia KP, Shilin Ns, Pankaj MS, et al. Cystic partially differentiated nephroblastoma, Indian J Med Pediatr Oncol 2004;25: 34-7.

Downloads

Published

2007-03-30

How to Cite

1.
Chareekaew S, Petlek W. Cystic Partially Differentiated Nephroblastoma (CPDN): A Rare Variant of Wilms’ Tumor. Thai J Surg [Internet]. 2007 Mar. 30 [cited 2024 Jul. 3];28(1):11-4. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241344

Issue

Section

Original Articles