Definition
A nonheritable developmental disease resulting of abnormal metanephric differentiation.
Clinical Features
Incidence
It occurs in 1 in 4300 live births. Multicystic dysplastic kidneys are also a finding of genetic disorders (Sanna-Cherchi et al. 2007).
Age
It is a congenital urinary tract anomaly (Bernstein 1971).
Sex
Multicystic renal dysplasia affects predominantly males.
Site
The condition is usually unilateral.
Treatment
Although previously, nephrectomy was the treatment of choice to avoid potential complications such as infection, pain, hypertension, and malignancy, to date the management is primarily conservative.
Outcome
Most patients have a favorable prognosis.
Multicystic renal dysplasia is usually sporadic but may rarely be associated with obstruction, multi-malformation syndromes, chromosomal anomalies, or hereditary malformation syndromes. Unilateral multicystic renal dysplasia is the most common cause of renal mass in childhood. Bilateral lesions may be present...
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References and Further Reading
Bernstein, J. (1971). The morphogenesis of renal parenchymal maldevelopment (renal dysplasia). Pediatric Clinics of North America, 18, 395–407.
Sanna-Cherchi, S., Caridi, G., Weng, P. L., et al. (2007). Genetic approaches to human renal agenesis/hypoplasia and dysplasia. Pediatric Nephrology, 22, 1675–1684.
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Caliò, A., Segala, D., Martignoni, G. (2019). Multicystic Renal Dysplasia. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_4854-1
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DOI: https://doi.org/10.1007/978-3-319-28845-1_4854-1
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