Cortical Fusion Defects in Renal Embryology
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Questions and Answers

What is the location of the junctional parenchymal defect in the kidney?

  • At the junction of the upper and middle thirds of the kidney (correct)
  • At the renal hilum or medulla
  • At the junction of the lower and middle thirds of the kidney
  • In the polar regions of the kidney
  • What is the characteristic of the junctional parenchymal defect in the kidney?

  • Not associated with parenchymal loss (correct)
  • Seen more often on the left side of the kidney
  • Associated with parenchymal thinning
  • Appears as an anechoic or hypoechoic area
  • What is the direction of the junctional parenchymal line in the kidney?

  • Horizontal to the renal cortex
  • Oblique to the renal hilum (correct)
  • Parallel to the renal medulla
  • Perpendicular to the renal hilum
  • What is the difference between the junctional parenchymal defect and a parenchymal scar?

    <p>The association with parenchymal loss</p> Signup and view all the answers

    What is the characteristic of compound calyces in the kidney?

    <p>Appear as prominent anechoic or hypoechoic areas</p> Signup and view all the answers

    What is the location of compound calyces in the kidney?

    <p>In the upper and lower poles of the kidney</p> Signup and view all the answers

    What is a possible associated anomaly with prune belly syndrome?

    <p>Trisomy 18 syndrome</p> Signup and view all the answers

    What is a characteristic sonographic finding in prune belly syndrome?

    <p>Thin-walled bladder</p> Signup and view all the answers

    What is a possible treatment for severely affected patients with prune belly syndrome?

    <p>Vesicostomy or primary urinary tract reconstruction</p> Signup and view all the answers

    What is a possible sonographic finding in the kidney in prune belly syndrome?

    <p>Echogenic renal parenchyma with small cysts</p> Signup and view all the answers

    What is a possible congenital anomaly associated with prune belly syndrome?

    <p>All of the above</p> Signup and view all the answers

    What is a characteristic feature of the urethra in prune belly syndrome?

    <p>Dilated posterior urethra</p> Signup and view all the answers

    What is the approximate percentage of malignant renal tumors in children accounted for by renal cell carcinoma?

    <p>2% to 6%</p> Signup and view all the answers

    What is the typical age range of presentation for renal cell carcinoma?

    <p>10 to 15 years</p> Signup and view all the answers

    What is the male to female ratio of renal cell carcinoma?

    <p>2:1</p> Signup and view all the answers

    What is a common site of metastasis for renal cell carcinoma?

    <p>Lung</p> Signup and view all the answers

    What is a common finding on sonography of renal cell carcinoma?

    <p>A well-defined mass</p> Signup and view all the answers

    What is the typical treatment for renal cell carcinoma?

    <p>Radical nephrectomy</p> Signup and view all the answers

    What is a characteristic sonographic finding of diffuse disease in nephroblastomatosis?

    <p>Hypoechoic subscapular tumors compressing the medulla</p> Signup and view all the answers

    What is a common feature of focal disease in nephroblastomatosis?

    <p>Hypoechoic masses that alter the renal contour</p> Signup and view all the answers

    What is a distinctive feature of a subcapsular tumor in nephroblastomatosis?

    <p>It is highly suggestive of nephroblastomatosis</p> Signup and view all the answers

    What is a characteristic of nephromegaly in nephroblastomatosis?

    <p>The kidneys are enlarged but maintain their reniform shape</p> Signup and view all the answers

    What is a key feature of isoechoic lesions in nephroblastomatosis?

    <p>They are only detected if they alter the renal contour or displace the collecting system</p> Signup and view all the answers

    What is the treatment of nephrogenic rests?

    <p>Controversial</p> Signup and view all the answers

    What percentage of cases of rhabdoid tumor have calcifications?

    <p>66%</p> Signup and view all the answers

    What is the typical age range for clear cell sarcoma?

    <p>1-4 years</p> Signup and view all the answers

    What is a common feature of rhabdoid tumor that suggests the diagnosis?

    <p>Indistinct tumor margins</p> Signup and view all the answers

    What is the term used to describe clear cell sarcoma due to its tendency to metastasize to bone?

    <p>Bone-metastasizing renal tumor</p> Signup and view all the answers

    What is the usual presentation of clear cell sarcoma?

    <p>Abdominal mass</p> Signup and view all the answers

    What is the male-to-female ratio of clear cell sarcoma?

    <p>2:1</p> Signup and view all the answers

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