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Bader, AA; Tamussino, KF; Winter, R.
Ectopic (pelvic) kidney mimicking bulky lymph nodes at pelvic lymphadenectomy.
Gynecol Oncol. 2005; 96(3):873-875 Doi: 10.1016/j.ygyno.2004.11.049 (- Case Report)
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Leading authors Med Uni Graz
Bader Arnim
Co-authors Med Uni Graz
Tamussino Karl
Winter Raimund
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Abstract:
BACKGROUND: Ectopic (pelvic) kidney is the most common congenital renal anomaly with an incidence of 1 in 500 to 1 in 2000. A pelvic kidney can be encountered at pelvic or paraaortic lymphadenectomy. CASE REPORTS: In two patients undergoing pelvic lymphadenectomy, lobulated tumors near the pelvic brim were initially interpreted as bulky lymph node conglomerates. Further dissection showed the ureter to originate from the masses, leading to a diagnosis of pelvic kidney. CONCLUSION: Pelvic kidneys mistaken for bulky lymph nodes are a potential intraoperative pitfall in patients with gynecologic malignancies. Keys to recognition include an index of suspicion, identifying the course of the ureter and origin of the renal vessels, and confirming absence of a kidney at the normal location.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Diagnosis, Differential -
Female -
Genital Neoplasms, Female - pathology
Humans - pathology
Kidney - abnormalities
Lymph Node Excision - abnormalities
Lymph Nodes - pathology
Lymphatic Metastasis - pathology
Middle Aged - pathology

Find related publications in this database (Keywords)
renal anomalies
lymphadenectomy
anatomic anomalies
gynecologic malignancies
renal ectopy
renal vessels
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