Talk:Renal System - Abnormalities: Difference between revisions

From Embryology
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* absent or small bladder -  
* absent or small bladder -  
associated with renal agenesis.
associated with renal agenesis.
===Bladder Exstrophy===
[[File:Bladder_Exstrophy.jpg|thumb|Bladder_Exstrophy]]
* developmental abnormality associated with bladder development.
* origins appear to occur not just by abnormal bladder development, but by a congenital malformation of the ventral wall of abdomen (between umbilicus and pubic symphysis).
* There may also be other anomolies associated with failure of closure of abdominal wall and bladder (epispadias, pubic bone anomolies).


===Ureter and Urethra===
===Ureter and Urethra===

Revision as of 10:47, 3 June 2010

  • Renal ectopy
  • Renal fusion
  • asymptomatic renal ectopia


Urorectal Septum Malformation

  • thought to be a deficiency in caudal mesoderm which in turn leads to the malformation of the urorectal septum and other structures in the pelvic region.
  • Recent research has also identified the potential presence of a persistent urachus prior to septation of the cloaca (common urogenital sinus).

Bladder

  • absent or small bladder -

associated with renal agenesis.

Ureter and Urethra

  • Ureter - Duplex Ureter
  • Urethra- Urethral Obstruction and Hypospadias


Wilms' Tumor

  • (nephroblastoma) Named after Max Wilms, a German doctor who wrote first medical articles 1899
  • most common type of kidney cancer children
  • WT1 gene - encodes a zinc finger protein
  • Both constitutional and somatic mutations disrupting the DNA-binding domain of WT1 result in a potentially dominant-negative phenotype
  • some blastema cells (mass of undifferentiated cells) persist to form a ‘nephrogenic rest’
  • Most rests become dormant or regress but others proliferate to form hyperplastic rests
  • any type of rest can then undergo a genetic or epigenetic change to become a neoplastic rest
  • can proliferate further to produce a benign lesion (adenomatous rest) or a malignant Wilms’ tumour