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Pediatric Nephrology
Published in: Pediatric Nephrology 3/2010

01-03-2010 | Clincal Quiz

Differential diagnosis of renal mass: answer

Authors: Andrew Fretzayas, Maria Moustaki, Efthimia Alexopoulou, Polyxeni Nicolaidou

Published in: Pediatric Nephrology | Issue 3/2010

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Excerpt

1.
The magnetic resonance (MR) study shows a wedge-shaped area in the right kidney (black arrows), which had homogeneous early arterial enhancement, similar to that of the renal cortex (black arrows). The appearance is consistent with a hypertrophied column of Bertin. Magnetic resonance is helpful in differentiating renal masses that have been found by ultrasound to be suggestive of malignancy.
 
2.
The renal scan shows normal size, shape and contour of both kidneys, with normal homogeneous uptake of the isotope and no photopenic areas.
 
3.
The renal mass represents columns of Bertin, as the wedge-shaped area in the MR study showed arterial enhancement similar to that of the cortex and the renal scan was normal.
 
…
Literature
1.
Bertin EJ (1744) Memoire pour servir a l’histoire des reins. In: Histoire de l’ Academie Royal des Sciences. Academie Royale des Sciences, Paris, pp 77–111
2.
Williams ED, Parker C (1982) Kidney pseudotumour diagnosed by emission computed tomography. Br Med J (Clin Res Ed) 285:1379–1380CrossRef
3.
Yeh HC, Halton KP, Shapiro RS, Rabinowitz JG, Mitty HA (1992) Junctional parenchyma: revised definition of hypertrophic column of Bertin. Radiology 185:725–732PubMed
4.
Hodson CJ, Mariani S (1982) Large cloisons. AJR Am J Roentgenol 139:327–332PubMed
5.
Hodson CJ (1972) The lobar structure of the kidney. Br J Radiol 44:246–261
6.
Lafortune M, Constantin A, Breton G, Vallee C (1986) Sonography of hypertrophied column of Bertin. AJR Am J Roentgenol 146:53–56PubMed
Metadata
Title
Differential diagnosis of renal mass: answer
Authors
Andrew Fretzayas
Maria Moustaki
Efthimia Alexopoulou
Polyxeni Nicolaidou
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
Pediatric Nephrology / Issue 3/2010
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-009-1218-6

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