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Mucinous cystadenoma of a horseshoe kidney: A case report and literature review. 2015

Taku Mitome, and Masahiro Yao, and Naoko Udaka, and Shusei Fusayasu, and Koji Izumi, and Kimito Osaka, and Narihiko Hayashi, and Noboru Nakaigawa, and Yoji Nagashima, and Yoshinobu Kubota
Department of Urology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan;

A 45-year-old man complained of a palpable mass in his left abdomen. Computed tomography showed a horseshoe kidney with a Bosniak type II complicated cyst from a left segment. Three years after his initial examination, due to the growing cystic lesion and the compression imposed on the urinary collecting system and surrounding organs, we performed a left heminephrectomy. The diagnosis was mucinous cystadenoma of the kidney. No recurrence was observed 6 months after surgery. The histopathology was unique since the inner surface of the cyst was covered by a mucin-positive columnar epithelium connected to a urothelium, with continuous transition between the two. This suggests that the mucinous tumour may have originated from a sequestered segment of the renal pelvic epithelium in the renal parenchyma.

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