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  • Title: Misleading leads: Wilms tumor with a metachronous lesion appearing in the remaining kidney.
    Author: Hilden JM, Brennom WS, Wolpert JJ, Beckwith JB.
    Journal: Med Pediatr Oncol; 1998 Mar; 30(3):180-2. PubMed ID: 9434829.
    Abstract:
    Medullary dysplasia may be present in the kidneys of children with the Beckwith-Wiedemann Syndrome (BWS). This is usually visible only at the microscopic level, but superimposed pyelonephritis in a child with the BWS led to gross changes that produced a filling defect on CT scanning of the remaining kidney. The finding could have been misinterpreted as a metachronous wilms tumor.
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