Leiomyoma of the renal capsule: case report and literature review
| Autor: | Giuseppe Simone, Pierfrancesco Bassi, Antonio Ranieri, Aurelio Paganelli, Alessio Filianoti |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Pathology Urinary system 030232 urology & nephrology Breast Neoplasms Nephrectomy Benign tumor Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Renal capsule Risk Factors Medicine Animals Humans Ultrasonography Incidental Findings Leiomyoma business.industry Mesenchymal stem cell General Medicine Renal tumor Middle Aged medicine.disease Kidney Neoplasms medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Female Radiology business |
| Zdroj: | Urologia. 85(1) |
| ISSN: | 1724-6075 |
| Popis: | Introduction: Mesenchymal tumors are an exceptional finding in the urinary tract and renal leiomyoma is even more rare. They are usually discovered incidentally during ultrasonography examinations or autopsy. Sometimes they are clinically symptomatic with hematuria, flank pain, or palpable mass. Till today, it is still difficult to make a diagnosis of leiomyoma using the radiological examinations. Although conventional imaging has a high sensitivity and specificity in the detection of both retroperitoneal and renal masses, the diagnosis is based on histological examination, due to the poor discrimination accuracy between different retroperitoneal tumors. Case description: We report a case of renal leiomyoma in a 47-year-old woman, who incidentally discovered a retroperitoneal mass with an abdominal ultrasound scheduled for a conventional follow-up schedule of a mammary neoplasm. Partial nephrectomy was carried out with an open flank surgical approach and the diagnosis was “leiomyoma of the renal capsule”. Four years after surgery, the patient is disease-free. Conclusions: Renal leiomyomas are rare, benign, nonmetastasizing tumors with a good prognosis after surgical treatment. At present, the differential diagnosis is still possible by histopathological examination. |
| Databáze: | OpenAIRE |
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