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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1994-7-12
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pubmed:abstractText |
Congenital mesoblastic nephroma (CMN) is a rare renal neoplasm which Bolande differentiated from Wilms tumour given its benign nature. We describe 7 cases of CMN which have been treated over the last ten years, in order to highlight to what extent a tumour which is generally considered to be benign can have an aggressive behaviour. 5 patients were diagnosed during their neonatal period (3 of them prenatally) and 2 after the third month of life. Clinical presentation, simple abdominal radiology, echography and abdominal CT scan, which showed characteristic images, led us to a final diagnosis. Tumoral resection was carried out in the 6 typical CMN. The atypical or aggressive CMN was urgently operated under critical circumstances due to spontaneous tumoral rupture. The pathological study showed a CMN of cellular variety with a sarcomatous component. Despite adjuvant chemotherapy, there was a tumoral recurrence which required a surgical second-look and subsequent chemotherapeutical treatment. Bolande's tumour is generally benign, but there is an aggressive cellular variant that fits into the intermediate zone of a pathological spectrum. This aggressive variant have different clinical, radiological and anatomo-pathological features and therefore it involves radical surgical treatment and additional chemotherapy with a rigorous follow-up in the short and the long term.
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pubmed:language |
spa
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0214-1221
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
7
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
25-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:8204425-Abdomen,
pubmed-meshheading:8204425-Abdominal Neoplasms,
pubmed-meshheading:8204425-Combined Modality Therapy,
pubmed-meshheading:8204425-Drug Therapy,
pubmed-meshheading:8204425-Female,
pubmed-meshheading:8204425-Humans,
pubmed-meshheading:8204425-Infant,
pubmed-meshheading:8204425-Infant, Newborn,
pubmed-meshheading:8204425-Laparotomy,
pubmed-meshheading:8204425-Male,
pubmed-meshheading:8204425-Neoplasm Recurrence, Local,
pubmed-meshheading:8204425-Nephroma, Mesoblastic
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pubmed:year |
1994
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pubmed:articleTitle |
[Does Bolande's malignant tumor exist?].
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pubmed:affiliation |
Servicio de Oncología Pediátrica, Hospital Universitario Materno-Infantil Vall d'Hebrón Barcelona.
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pubmed:publicationType |
Journal Article,
English Abstract
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