Evidence map›Paper›PMID 37550779›Full record

ArticleJournal of medical case reports2023

Metanephric adenoma diagnosed on biopsy in an infant: a case report.

S Mosbahi, S Ben Youssef, A Zouaoui, M Abdelali, M Ben Fredj, N Ben Abdejelil, S Belhassen, S Hidouri, I Chabchoub, A Ksia and 5 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 1 country.

S MosbahiDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia. sana_mosbahi@yahoo.fr.
S Ben YoussefDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
A ZouaouiDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
M AbdelaliDepartment of Radiology, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
M Ben FredjDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
N Ben AbdejelilDepartment of AnatomopathologyFattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
S BelhassenDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
S HidouriDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
I ChabchoubDepartment of Oncology, Farhat Hached University Hospital, Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia.
A KsiaDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
L SahnounDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
M MekkiDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
A ZakhamaDepartment of AnatomopathologyFattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
A ZrigDepartment of Radiology, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia.
M BelghithDepartment of Pediatric Surgery, Fattouma Bourguiba University Hospital Monastir, Faculty of Medicine of Monastir, University of Monastir, Farhat Hached Street, 5000, Monastir, Tunisia.
University of Monastir · TNHospital Fatuma Bourguiba Monastir · TNUniversity of Sousse · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetanephric adenoma is a rare benign renal tumor of the kidney, uncommonly observed in children. It is often misdiagnosed preoperatively as a malignant neoplasm, leading to an unnecessary nephrectomy. The challenge is to make the right diagnosis preoperatively and therefore manage it with conservative surgery. We report a case of a child with metanephric adenoma who underwent nephron-sparing surgery. CASE PRESENTATION: A renal tumor was discovered fortuitously in an 18-month-old Caucasian girl with several congenital malformations. Investigations showed a 28 × 27 × 27 mm left renal mass centrally located, well defined, nonvascularized, with no calcifications and which compressed the adjacent renal tissue. Furthermore, there were no signs of metastasis. The decision of a multidisciplinary meeting was to perform a computed tomography (CT)-scan-guided biopsy. Histologic examination concluded it was a metanephric adenoma. We performed a left open partial nephrectomy via a flank retroperitoneal incision. The final histopathological examination confirmed the diagnosis. The postoperative course was uneventful.

conclusionPreoperative diagnosis of metanephric adenoma is challenging. Because of the high probability of unnecessary radical nephrectomy, preoperative biopsy can be safe and determining to guide a more conservative approach so nephron-sparing surgery can be performed.

Indexed as

AdenomaKidney NeoplasmsChildFemaleHumansImage-Guided BiopsyInfantKidneyNephrectomyConservative surgeryInfantMetanephric adenoma

Identifiers

PMID37550779
PMCPMC10408113
OpenAlexW4385619137

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.