1 Departments of Pathology, Neurosurgery, and Pediatrics, St Paul-Ramsey Medical Center, St Paul, and University of Minnesota; and Departments of Pathology, Surgery, and Pediatrics, Children's Health Center, Minneapolis
During reparative surgery for meningomyelocele of the lumbar area, a 7-week-old female infant was found to have a small, well-delineated, subcutaneous, renal blastema. A 3-month-old female infant was found to have immature renal tissue, consisting of glomeruli and tubules, in a soft tissue swelling dorsal to the sacrum. Neither of these patients showed neuroloic or renal abnormalities. The second patient has had a disease-free follow-up period of six years. The possible etiology and significance of these benign findings and their relation to the origin of Wilms tumors are discussed.
Submitted on March 23, 1981