Mixed epithelial and stromal tumor of the kidney composed mainly of solid components: A case report

Autor: Kiyoka Maeba, Akihiko Kanki, Hiroyuki Watanabe, Akira Yamamoto, Yasuto Fujimoto, Miyaji Yoshiyuki, Tsutomu Tamada
Rok vydání: 2022
Předmět:
Zdroj: Acta Radiologica Open. 11:205846012211030
ISSN: 2058-4601
Popis: Mixed epithelial and stromal tumor (MEST) is a relatively rare lesion of mixed epithelial and mesenchymal origin, consisting of epithelial components that form cysts and stromal cells that are positive for estrogen and progesterone receptors. The present case was a 54-year-old female who presented with hematuria. Abdominal ultrasonography revealed a 41 x 30 mm tumor in the right kidney, with the tumor protruding outward in the direction of the renal pelvis. Dynamic contrast-enhanced computed tomography and magnetic resonance imaging confirmed a solid tumor in the right kidney that showed gradual contrast enhancement and contained a central non-enhancing area with the appearance of a cystic component. Based on the imaging findings, the provisional diagnosis was papillary renal cell carcinoma or angiomyolipoma with epithelial cysts. Right nephrectomy was performed and the tumor was confirmed histopathologically as MEST. We report a very rare case of MEST that was composed mainly of solid components.
Databáze: OpenAIRE