Congenital mesoblastic nephroma (CMN), light micrograph. CMN is a mesenchymal neoplasm of the kidney that usually presents by the age of 6 months. It is the most common congenital renal neoplasm. Three histologic variants have been described - classic (25%), cellular (65%), and mixed (10%). It has excellent prognosis with 95% survival rate following complete resection. This image is an intermediate power view of a classic mesoblastic nephroma showing intersecting bundles of spindle cells creating an appearance reminiscent of fibromatosis. Entrapped glomeruli and tubules can also be seen.