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The metanephrogenic blastema or metanephric blastema (or metanephric mesenchyme, or metanephric mesoderm) is one of the two embryological structures that give rise to the kidney, the other being the ureteric bud. The metanephric blastema mostly develops into nephrons, but can also form parts of the collecting duct system.
[17] [6] [18] Differences in kidney structure are the result of adaptations during evolution to variations in body mass and habitats (in particular, aridity) between species. [ 19 ] [ 20 ] [ 12 ] The cortex and medulla of the kidney contain nephrons , [ 21 ] each of which consists of a glomerulus and a complex tubular system. [ 22 ]
Metanephric adenoma (MA) is a rare, benign tumour of the kidney, that can have a microscopic appearance similar to a nephroblastoma (Wilms tumours), [1] or a papillary renal cell carcinoma. It should not be confused with the pathologically unrelated, yet similar sounding, mesonephric adenoma .
If the condition involves only a single duct, then microdochectomy may be indicated, in particular in women wishing to preserve the ability to breastfeed; [7] if the condition involves from several ducts or if no specific duct could be determined, then a subareolar resection of the ducts (central duct excision, also called Hadfield's procedure ...
Each metanephric kidney is characterized by a large number of nephrons and a highly branched system of collecting tubules and ducts, [28] that open into the ureter. [48] Such branching in the metanephros is unique in relation to the pronephros and mesonephros. [ 44 ]
The ureteric bud, also known as the metanephric diverticulum, [1]: 50 is a protrusion from the mesonephric duct during the development of the urinary and reproductive organs. [ 2 ] [ 3 ] It later develops into a conduit for urine drainage from the kidneys, which, in contrast, originate from the metanephric blastema .
It is opposed to for example palliative surgery which is intended for symptom relief rather than complete removal of cancer tissue. Immunohistochemistry with SOX10 (staining the cell nuclei of melanocytes ) of lentigo maligna , showing malignant melanocytes all the way to the resection margin (inked in yellow, at left), conferring a diagnosis ...
The RENAL Nephrometry Scoring System is used to measure the complexity of kidney tumors for determining whether a renal mass is appropriate for partial or radical nephrectomy, and is estimated by CT scan as follows: [7] The nephrometery score takes into account the size of the tumor (Radius), how much of the tumor is inside or outside of the ...