Abstract
Leiomyosarcomas are rare but malignant tumors; 60% of them are localized in inferior vein cava district. We present the case report of a 33-year-old man with left renal vein leiomyosarcoma presenting with hematuria and back pain; a computed tomography scan showed a solid mass in left renal pelvis with a diameter of 49x47 mm, with central necrotica areas and esofitic development directed to pelvis; no sign of dilatation of the collecting system. We made a total right nefrectomy removing the tumor, perirenal fat tissue, homolateral adrenal gland and paraortic and renal hilum linfonodes. The tumor was solid, white, with hard-elastic thickness and maximum diameter of 5 cm, close to the hilum. Definitive diagnosis of vascular wall leiomyosarcoma has been reached thanks to the anatomopathological results; neither kidney nor other structures were involved by the mass; all nodes were negatives. At moment the patient is in good clinical conditions.
| Original language | English |
|---|---|
| Pages (from-to) | 263-266 |
| Number of pages | 4 |
| Journal | Gazzetta Medica Italiana Archivio per le Scienze Mediche |
| Volume | 170 |
| Issue number | 4 |
| Publication status | Published - Aug 2011 |
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Keywords
- Computed tomography
- Hematuria
- Leiomyosarcoma
- Renal veins
ASJC Scopus subject areas
- Medicine(all)