The Teaching Point

Renal myxomas do not have defining characteristics on CT or MRI and show little to no metabolic activity on PET. In pediatric organ transplant recipients, adult-predominant pathology must be considered when the organ came from an adult donor.






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From the manuscript

Renal myxoma in a pediatric transplant recipient

Free full text article: Renal myxoma in a pediatric transplant recipient

Abstract
Renal myxoma is a very rare benign neoplasm seen almost exclusively in adults with only 16 reported cases in the literature. All of these cases have been reported in native kidneys with none being reported in a transplant kidney. We report the case of a renal myxoma in a 17-year-old boy's transplant kidney that was found as an incidental mass on ultrasonography and further evaluated with CT and PET scans. PET findings of a renal myxoma are reported here for the first time, and imaging findings from previous cases are briefly reviewed. This case report highlights the fact that adult-predominant tumors and pathology should always be a consideration in pediatric patients who receive organ transplants from adult donors.






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