Left renal vein leiomyosarcoma

R. F. Grasso, F. Giurazza, F. Carcione, F. D'Agostino, R. Del Vescovo, E. Faiella, R. Papalia, G. Simone, M. Gallucci, B. B. Zobel

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Pages (from-to)263-266
Number of pages4
JournalGazzetta Medica Italiana Archivio per le Scienze Mediche
Volume170
Issue number4
Publication statusPublished - Aug 2011

Keywords

  • Computed tomography
  • Hematuria
  • Leiomyosarcoma
  • Renal veins

ASJC Scopus subject areas

  • Medicine(all)

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