Clear cell sarcoma of the kidney in a newborn

Bu makalede, 37 haftalık, gebelik süresince herhangi bir sağlık kurumunda tıbbi takibi olmadan normal vajinal yolla doğan, doğumun ardından yenidoğan ünitesinde karnında kitle fark edilen bir erkek yenidoğan olgu sunuldu. Cerrahi olarak çıkarılan kitlenin histo-patolojik incelemesinde kitlenin böbrek kaynaklı clear cell sarkoması olduğu tesbit edildi. Olgudaki mevcut bulgular sunulup, böbreğin clear cell sarkomasının çocukluk çağı ve yenidoğan döneminde ortaya çıkışı ile ilgili literatür araştırması yapılarak bununla ilgili vakalar bildirildi. Yenidoğan döneminde böbreğin clear cell sarkomasının klinik olarak ortaya çıkış şekilleri, evresi, yönetimi ve sonuçları anlatıldı. Böbreğin clear cell sarkomasının yenidoğan döneminde oldukça nadir görülmesine rağmen ayrıcı tanıda akılda tutulması gerektiği vurgulandı.

Bir yenidoğanda böbreğin clear cell sarkoması

In the present article, we present the case of a 37-month-old male newborn, who was delivered by normal birth with no history of routine examinations during pregnancy, with an abdominal mass observed after the birth, and was eventually diagnosed with clear cell sarcoma of the kidney in the histopathology examination after the mass was dissected by surgery. We report the observed symptoms as well as related cases found in the literature related to childhood and newborn age clear cell sarcoma of the kidney. We also put forward clinical observance, stages, management and outcomes of clear cell sarcoma of the kidney during newborn. Our study underlines that clear cell sarcoma should be kept in mind during differential diagnosis although it is rarely observed in newborns.

___

  • Perlman E. In: Gilbert-Barness E, editor. Renal tumors. Potter's pathology of the fetus, infant and child, 2nd ed, vol. 2. Philadelphia: Mosby-Elsevier 2007;1345-54.
  • Beckwith J. Wilms' tumor and other renal tumors of childhood: a selective review from the National Wilms' Tumor Study Pathology Center. Hum Pathol 1983;14:481-92.
  • Hung NA. Congenital "clear cell sarcoma of the kidney". Virchows Arch 2005;446(5)566-8.
  • ZeKri W, Alfaar AS, Yehia D, Elshafie MM, Zaghloul MS, El-Kinaai N. et al. Younes AA. Clear cell sarcoma of the kidney: Patients' characteristics and improved outcome in developing countries. Pediatr Blood Cancer 2014;61:2185-90.
  • Gooskens SL, Furtwangler R, Vujanic GM, Dome JS, Graf N, van den Heuvel-Eibrink MM. et al. Clear cell Sarkoma of the kidney: A review. Eur J Cancer 2012;48(14):2219-26.
  • Argani P, Perlman EJ, Breslow NE, Brownimg NG, Gren DM, D'Angio GJ, Beckwith JB. et. al. Clear cell sarcoma of the kidney: a review of 351 cases from the National Wilms Tumor Study Group Pathology Center. Am J Surg Pathol 2000;24(1):4-18.
  • El Kababri M, Khattab M, El Khorassani M, Hessien L, Kili Aloui F. Clear cell sarcoma of the kidney. A study of 13 cases. Arch Pediatr 2004;11(7):794-9.
  • Kataoka Y, Shimada H, Sugimoto T, Mine H, Hachitanda Y, Doi Y. et al. Congenital sarcoma in the terminal ileum histogically resembling clear cell sarcoma of the kidney: a case report with an immunohistochemical study. Hum Pathol 1993;24(9):1026-30.
  • Mazzoleni S, Vecchiato L, Alaggio R, Cecchetto G, Zorzi C, Carli M. et al. Clear cell sarcoma of the kidney in a newborn. Med Pediatr Oncol 2003;41(2):153-5.
  • Newbould MJ, Kelsey AM. Clear cell sarcoma of the kidney in a 4-month-old: a case report. Med Pediatr Oncol 1993;21(7):525-8.
  • Suzuki H, Honzumi M, Itoh Y, Umehara N, Moriyama S, Funada M. et al. Clear cell sarcoma of the kidneys seen in a 3-day-old newborn. Z Kinderchir 1983;38(6):422-4.
  • Isaacs H Jr. Fetal and neonatal renal tumors. J Pediatric Surg 2008;43(9):1587-95.
  • Punnet HH, Halligan GE, Zaeri N, Karmazin N. Translocation 10;17 in clear cell sarcoma of the kidney. A first report. Cancer Genet Cytogenet 1989;41(1):123- 8.
  • Satoh F, Tsutsumi Y, Yokoyama S, Osamura RY. Comparative immunohistochemical analysis of developing kidneys, nepfroblastomas and related tumors: considerations on their histo genesis. Pathol Int 2000;50(6):458-71.
  • Finn LS, Patterson K. Ovarian sarcoma with pathologic features of clear cell sarcoma of the kidney. Pediatr Dev Pathol 2000;3:487-91.
İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi-Cover
  • ISSN: 1300-1744
  • Yayın Aralığı: Yılda 4 Sayı
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi