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Case report
Primitive neuroectodermal tumour (PNET) of the renal capsule mimicking solid adrenal tumour
  1. Amrin Israrahmed1,
  2. Somesh Singh1,
  3. Hira Lal1 and
  4. Manoj Jain2
  1. 1Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
  2. 2Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
  1. Correspondence to Dr Hira Lal; hiralal2007{at}yahoo.co.in

Abstract

Primitive neuroectodermal tumour (PNET) of renal capsule is a rare entity. We report a case of a 17-year-old girl, who presented with symptoms of epigastric and right hypochondrium pain since 1 year. She was afebrile and physical examination revealed a soft, non-tender, firm, bimanually palpable and ballotable mass along right flank. Ultrasound abdomen showed a large heteroechoic mass in right suprarenal region with indistinct planes with upper pole of right kidney. On CT, a large right suprarenal mass was noted with origin likely from right adrenal gland. Surgery was done and intraoperatively, the large mass in right suprarenal region showed involvement of the upper pole of the right kidney. The right adrenal gland was small in size, compressed and displaced by the lesion. Histopathology revealed the mass to be PNET of kidney. We report the relevant imaging findings of the case with review of literature of this entity.

  • urological surgery
  • radiology
  • interventional radiology
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Footnotes

  • Contributors This report was supervised by HL. Data were compiled and case report was written by AI, manuscript review was done by SS and histopathological diagnosis and explanation were given by MJ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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