ABSTRACT

Metanephric adenoma is a rare benign tumor of the kidney. Macroscopically, the cut surface of the tumor shows a well-circumscribed mass of grey to yellow color. Here we have presented our experience with 2 cases of metanephric adenoma. Although it is very difficult to differentiate it from malignancy by clinical or radiological findings, the differentiation is mainly done by histopathology and immunohistochemistry. Complete surgical removal or polar nephrectomy is the proper treatment in almost all cases.

Shankar Pradad Hazra, Nipun Awasti, Debojyt Gogoi, Debasis Chakrabortty, Dilip Kumar Pal

Institute of Postgraduate Medical Education & Research, Kolkata, Kolkata, West Bengal, India

Submitted November 24, 2013 - Accepted for Publication November 28, 2013

KEYWORDS: Metanephric adenoma, renal tumor, immunohistochemistry

CORRESPONDENCE: Dilip Kumar Pal, MS, FAIS, MCh (Urology), Institute of Postgraduate Medical Education & Research, Kolkata, Kolkata, West Bengal, India ()

CITATION: UroToday Int J. 2013 December;6(6):art 68. http://dx.doi.org/10.3834/uij.1944-5784.2013.12.03

ABSTRACT

Page kidney phenomenon (PK) is hypereninemic hypertension triggered by any compressive mechanism on the kidney. Since it was first described in human beings in 1955, multiple causes of extrinsic compression of the renal parenchyma have been reported. However, to our knowledge, no cases related to arteriography with angioplasty as the cause of PK in a transplanted kidney has been reported. Clinical suspicion is always essential in making an accurate diagnosis. Treatment should be individualized. Patients who suffer PK should be monitored due to the possibility of chronic hypertension.

Natalia Miranda-Utrera, José Medina-Polo, Manuel Pamplona-Casamayor, Rafael Díaz-González

Department of Urology, Hospital Universitario 12 de Octubre, Madrid, Spain

Submitted September 17, 2013 - Accepted for Publication November 28, 2013

KEYWORDS: Hypertension, page kidney, renal artery stenosis, renal transplantation, subcapsular hematoma, ultrasound

CORRESPONDENCE: José Medina-Polo, Department of Urology, Hospital Universitario 12 de Octubre, Avda. Córdoba s/n, 28041, Madrid, Spain ()

CITATION: UroToday Int J. 2013 December;6(6):art 72. http://dx.doi.org/10.3834/uij.1944-5784.2013.12.07