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Multilocular Cystic Nephroma
Matthew T. Heller, MD, FSAR; Michael P. Federle, MD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Multilocular cystic nephroma (MLCN)
          • Synonyms

            • Multilocular cystic renal tumor, benign cystic nephroma, cystadenoma, Perlman tumor
            • Polycystic nephroblastoma, cystic partially differentiated nephroblastoma (CPDN)
          • Definitions

            • Nonhereditary, benign renal neoplasm arising from metanephric blastema

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Angiographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Wilkinson C et al: Adult multilocular cystic nephroma: Report of six cases with clinical, radio-pathologic correlation and review of literature. Urol Ann. 5(1):13-7, 2013
                                              2. Katabathina VS et al: Cystic renal neoplasms and renal neoplasms associated with cystic renal diseases in adults: cross-sectional imaging findings. J Comput Assist Tomogr. 36(6):659-68, 2012
                                              3. Raman SP et al: Beyond renal cell carcinoma: rare and unusual renal masses. Abdom Imaging. 37(5):873-84, 2012
                                              4. Kim S et al: T1 hyperintense renal lesions: characterization with diffusion-weighted MR imaging versus contrast-enhanced MR imaging. Radiology. 251(3):796-807, 2009
                                              5. Israel GM et al: Pitfalls in renal mass evaluation and how to avoid them. Radiographics. 28(5):1325-38, 2008
                                              6. Silver IM et al: Best cases from the AFIP: Multilocular cystic renal tumor: cystic nephroma. Radiographics. 28(4):1221-5; discussion 1225-6, 2008
                                              7. Hopkins JK et al: Best cases from the AFIP: cystic nephroma. Radiographics. 24(2):589-93, 2004
                                              8. Fujimoto K et al: Spontaneously ruptured multilocular cystic nephroma. Int J Urol. 9(3):183-6, 2002
                                              9. Eble JN et al: Extensively cystic renal neoplasms: cystic nephroma, cystic partially differentiated nephroblastoma, multilocular cystic renal cell carcinoma, and cystic hamartoma of renal pelvis. Semin Diagn Pathol. 15(1):2-20, 1998
                                              10. Kural AR et al: Multilocular cystic nephroma: an unusual localization. Urology. 52(5):897-9, 1998
                                              11. Levine E et al: Current concepts and controversies in imaging of renal cystic diseases. Urol Clin North Am. 24(3):523-43, 1997
                                              12. Kettritz U et al: Multilocular cystic nephroma: MR imaging appearance with current techniques, including gadolinium enhancement. J Magn Reson Imaging. 6(1):145-8, 1996
                                              13. Agrons GA et al: Multilocular cystic renal tumor in children: radiologic-pathologic correlation. Radiographics. 15(3):653-69, 1995
                                              14. Yamashita Y et al: Multilocular cystic renal cell carcinoma presenting as a solid mass: radiologic evaluation. Abdom Imaging. 20(2):164-8, 1995
                                              15. Castillo OA et al: Multilocular cysts of kidney. A study of 29 patients and review of literature. Urology. 37(2):156-62, 1991
                                              16. Joshi VV et al: Multilocular cyst of the kidney (cystic nephroma) and cystic, partially differentiated nephroblastoma. Terminology and criteria for diagnosis. Cancer. 64(2):466-79, 1989
                                              17. Madewell JE et al: Multilocular cystic nephroma: a radiographic-pathologic correlation of 58 patients. Radiology. 146(2):309-21, 1983
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Multilocular cystic nephroma (MLCN)
                                                      • Synonyms

                                                        • Multilocular cystic renal tumor, benign cystic nephroma, cystadenoma, Perlman tumor
                                                        • Polycystic nephroblastoma, cystic partially differentiated nephroblastoma (CPDN)
                                                      • Definitions

                                                        • Nonhereditary, benign renal neoplasm arising from metanephric blastema

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Angiographic Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Wilkinson C et al: Adult multilocular cystic nephroma: Report of six cases with clinical, radio-pathologic correlation and review of literature. Urol Ann. 5(1):13-7, 2013
                                                                                          2. Katabathina VS et al: Cystic renal neoplasms and renal neoplasms associated with cystic renal diseases in adults: cross-sectional imaging findings. J Comput Assist Tomogr. 36(6):659-68, 2012
                                                                                          3. Raman SP et al: Beyond renal cell carcinoma: rare and unusual renal masses. Abdom Imaging. 37(5):873-84, 2012
                                                                                          4. Kim S et al: T1 hyperintense renal lesions: characterization with diffusion-weighted MR imaging versus contrast-enhanced MR imaging. Radiology. 251(3):796-807, 2009
                                                                                          5. Israel GM et al: Pitfalls in renal mass evaluation and how to avoid them. Radiographics. 28(5):1325-38, 2008
                                                                                          6. Silver IM et al: Best cases from the AFIP: Multilocular cystic renal tumor: cystic nephroma. Radiographics. 28(4):1221-5; discussion 1225-6, 2008
                                                                                          7. Hopkins JK et al: Best cases from the AFIP: cystic nephroma. Radiographics. 24(2):589-93, 2004
                                                                                          8. Fujimoto K et al: Spontaneously ruptured multilocular cystic nephroma. Int J Urol. 9(3):183-6, 2002
                                                                                          9. Eble JN et al: Extensively cystic renal neoplasms: cystic nephroma, cystic partially differentiated nephroblastoma, multilocular cystic renal cell carcinoma, and cystic hamartoma of renal pelvis. Semin Diagn Pathol. 15(1):2-20, 1998
                                                                                          10. Kural AR et al: Multilocular cystic nephroma: an unusual localization. Urology. 52(5):897-9, 1998
                                                                                          11. Levine E et al: Current concepts and controversies in imaging of renal cystic diseases. Urol Clin North Am. 24(3):523-43, 1997
                                                                                          12. Kettritz U et al: Multilocular cystic nephroma: MR imaging appearance with current techniques, including gadolinium enhancement. J Magn Reson Imaging. 6(1):145-8, 1996
                                                                                          13. Agrons GA et al: Multilocular cystic renal tumor in children: radiologic-pathologic correlation. Radiographics. 15(3):653-69, 1995
                                                                                          14. Yamashita Y et al: Multilocular cystic renal cell carcinoma presenting as a solid mass: radiologic evaluation. Abdom Imaging. 20(2):164-8, 1995
                                                                                          15. Castillo OA et al: Multilocular cysts of kidney. A study of 29 patients and review of literature. Urology. 37(2):156-62, 1991
                                                                                          16. Joshi VV et al: Multilocular cyst of the kidney (cystic nephroma) and cystic, partially differentiated nephroblastoma. Terminology and criteria for diagnosis. Cancer. 64(2):466-79, 1989
                                                                                          17. Madewell JE et al: Multilocular cystic nephroma: a radiographic-pathologic correlation of 58 patients. Radiology. 146(2):309-21, 1983