We report the karyotype analysis of a congenital mesoblastic nephroma
(CMN), a usually benign, renal tumor occurring most commonly during ea
rly infancy. The tumor was composed of interlacing bundles of spindle-
shaped cells and it displayed both the classic and cellular histologic
patterns. Immunoperoxidase studies showed reactivity for vimentin and
actin. The tumor cell karyotype included additional chromosomes 11 an
d an altered chromosome 12. Trisomy or tetrasomy of chromosome 11 is p
resent in five of six reported cases and may represent a frequent alte
ration in the karyotype of the CMN. Furthermore, breakpoints in the q1
3-15 region of chromosome 12 are commonly seen in leiomyomas, which ar
e histologically similar to the CMN. Thus, the karyotype described her
e illustrates another similarity between the two tumor types.