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KEY FACTS Terminology Rare, highly aggressive neoplasm in young children ~ 2% of pediatric renal tumors Extrarenal sites include CNS, soft tissues > liver, lung You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Hamartomatous renal tumor of young infants Classic benign vs. more aggressive cellular variants Studies vary on which type more common You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

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KEY FACTS Terminology Malignant tumor of primitive metanephric blastema Accounts for 90% of pediatric renal tumors 80% of cases in children < 5 years old You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

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KEY FACTS Imaging CECT Multiple bilateral renal masses (40-60%) Homogeneous, mild enhancement (10-20 HU) Retroperitoneal adenopathy (25%), splenomegaly, or lymphadenopathy at other sites Infiltration of renal parenchyma or sinus with maintenance of reniform shape; may simulate transitional cell carcinoma Extranodal sites: Bowel, brain, liver, bone marrow MR T1: Iso- to slightly hypointense T2: Typically hypointense T1WI C+ FS: Mild enhancement US Solid, hypoechoic lesions relative to…

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KEY FACTS Terminology Rare, aggressive neoplasm arising in renal medulla Synonym: Duct of Bellini carcinoma You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Highly aggressive, infiltrative malignancy arising in collecting duct You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

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KEY FACTS Imaging 2% of sporadic renal cell carcinomas (RCCs) are bilateral, and 16-25% of sporadic RCCs are multicentric in same kidney Exophytic: Projects from cortical surface, distinct from parenchyma Most are hypervascular (not papillary RCC) Rarely, small areas of fat attenuation (-80 to -120 HU) Combination of fat and calcification suggests RCC, not renal angiomyolipoma (AML) Renal venous (23%) and inferior vena cava (IVC) tumor…

KEY FACTS Terminology Rare, benign cystic renal neoplasm that contains stromal and epithelial components You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Rare, benign epithelial renal neoplasm You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

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KEY FACTS Terminology Benign renal tumor composed of abnormal blood vessels, smooth muscle, and adipose components Imaging Most common benign renal neoplasm 80% are incidental findings on imaging 90% are unilateral and solitary: Usually not associated with tuberous sclerosis (TSC) 10% are multiple and bilateral: Usually due to TSC 80% of TSC patients have renal angiomyolipomas (AMLs) Solid, heterogeneous, renal cortical mass in adult with macroscopic…

KEY FACTS Terminology Benign nonneoplastic proliferation of cysts, usually within normally functioning kidney You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here