Oncogenic osteomalacia is an uncommon syndrome characterized by mineral metabolism abnormalities that disappear after the resection of an associated tumour. Head and neck is the second most frequent location of these tumours. We describe a case with an ethmoido-frontal phosphaturic mesenchymal tumour and review oncogenic osteomalacia-associated tumours. Among 21 cases found, 57 per cent affected the sinonasal area and 20 per cent the mandible. The diagnosis of the tumour lasted a mean of 4.7 years from the onset of osteomalacia, and most of them showed a significant vascular component. An aggressive surgical approach is recommended.

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We studied a human embryo of 16 mm crown-rump (CR) length in excellent condition with a horseshoe kidney malformation. An exhaustive study of this specimen and a review of published material on the human embryo brings us to propose a new theory on the embryogenesis of this malformation. The most commonly accepted theory consists of a mechanical interpretation based on the relation between the metanephroi and the umbilical arteries during the development of the latter. Nevertheless, in those cases where renal parenchyma constitutes the isthmic region, we believe that these arise from nephrogenic cells that have migrated across the primitive streak in the final phase of gastrulation and thus arise from the posterior nephrogenic area of the epiblast.

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