Primary Synovial Sarcoma of the Kidney

The case was a 40-year-old female. She visited a local doctor with a chief complaint of right side abdominal pain. A right kidney tumor measuring 10 cm in diameter was observed in an abdominal Computed Tomography (CT) scan. Based on the CT image, the possibility of angiomiolipoma (AML) could not be...

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Main Authors: Takashi Kawahara, Zenkichi Sekiguchi, Kazuhide Makiyama, Takashi Nakayama, Yoji Nagashima, Kaoru Kita, Kazuhiro Namura, Hiroki Itou, Futoshi Sano, Narihiko Hayashi, Noboru Nakaigawa, Takehiko Ogawa, Hiroji Uemura, Masahiro Yao, Yoshinobu Kubota
Format: Article
Language:English
Published: Karger Publishers 2009-10-01
Series:Case Reports in Oncology
Subjects:
Online Access:http://www.karger.com/Article/FullText/245926
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author Takashi Kawahara
Zenkichi Sekiguchi
Kazuhide Makiyama
Takashi Nakayama
Yoji Nagashima
Kaoru Kita
Kazuhiro Namura
Hiroki Itou
Futoshi Sano
Narihiko Hayashi
Noboru Nakaigawa
Takehiko Ogawa
Hiroji Uemura
Masahiro Yao
Yoshinobu Kubota
author_facet Takashi Kawahara
Zenkichi Sekiguchi
Kazuhide Makiyama
Takashi Nakayama
Yoji Nagashima
Kaoru Kita
Kazuhiro Namura
Hiroki Itou
Futoshi Sano
Narihiko Hayashi
Noboru Nakaigawa
Takehiko Ogawa
Hiroji Uemura
Masahiro Yao
Yoshinobu Kubota
author_sort Takashi Kawahara
collection DOAJ
description The case was a 40-year-old female. She visited a local doctor with a chief complaint of right side abdominal pain. A right kidney tumor measuring 10 cm in diameter was observed in an abdominal Computed Tomography (CT) scan. Based on the CT image, the possibility of angiomiolipoma (AML) could not be ruled out, but a high maximum standardized uptake value (SUVmax) of 7.8 was observed in a Positron Emission Tomography CT (PET-CT) scan and there was a possibility of malignancy. We therefore performed a transperitoneal right radial nephrectomy. Although adhesion of the tumor to the duodenum and the inferior vena cava was observed, it was possible to perform an excision. The tumor accounted for a large proportion of the excised kidney; the surrounding areas had taken on a cyst-like structure, and the interior comprised grayish brittle tissue exhibiting solid growth. Histologically, gland-like and cyst-like structures composed of cylindrical cuboidal cells and mainly characterized by the solid growth of short fusiform-shaped and oval-shaped basophilic cells were observed, and we believed it was a synovial sarcoma. There were no malignant findings in the adrenal gland. There have been approximately 30 reported cases around the world of synovial sarcoma that developed in the kidney, and we herein report this case with bibliographic considerations.
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spelling doaj.art-21f46188447f4ea48059f696c27dd6e32022-12-22T00:42:29ZengKarger PublishersCase Reports in Oncology1662-65752009-10-012318919310.1159/000245926245926Primary Synovial Sarcoma of the KidneyTakashi KawaharaZenkichi SekiguchiKazuhide MakiyamaTakashi NakayamaYoji NagashimaKaoru KitaKazuhiro NamuraHiroki ItouFutoshi SanoNarihiko HayashiNoboru NakaigawaTakehiko OgawaHiroji UemuraMasahiro YaoYoshinobu KubotaThe case was a 40-year-old female. She visited a local doctor with a chief complaint of right side abdominal pain. A right kidney tumor measuring 10 cm in diameter was observed in an abdominal Computed Tomography (CT) scan. Based on the CT image, the possibility of angiomiolipoma (AML) could not be ruled out, but a high maximum standardized uptake value (SUVmax) of 7.8 was observed in a Positron Emission Tomography CT (PET-CT) scan and there was a possibility of malignancy. We therefore performed a transperitoneal right radial nephrectomy. Although adhesion of the tumor to the duodenum and the inferior vena cava was observed, it was possible to perform an excision. The tumor accounted for a large proportion of the excised kidney; the surrounding areas had taken on a cyst-like structure, and the interior comprised grayish brittle tissue exhibiting solid growth. Histologically, gland-like and cyst-like structures composed of cylindrical cuboidal cells and mainly characterized by the solid growth of short fusiform-shaped and oval-shaped basophilic cells were observed, and we believed it was a synovial sarcoma. There were no malignant findings in the adrenal gland. There have been approximately 30 reported cases around the world of synovial sarcoma that developed in the kidney, and we herein report this case with bibliographic considerations.http://www.karger.com/Article/FullText/245926Synovial sarcomaRenal tumorRenal massPET-CTSYT-SSX
spellingShingle Takashi Kawahara
Zenkichi Sekiguchi
Kazuhide Makiyama
Takashi Nakayama
Yoji Nagashima
Kaoru Kita
Kazuhiro Namura
Hiroki Itou
Futoshi Sano
Narihiko Hayashi
Noboru Nakaigawa
Takehiko Ogawa
Hiroji Uemura
Masahiro Yao
Yoshinobu Kubota
Primary Synovial Sarcoma of the Kidney
Case Reports in Oncology
Synovial sarcoma
Renal tumor
Renal mass
PET-CT
SYT-SSX
title Primary Synovial Sarcoma of the Kidney
title_full Primary Synovial Sarcoma of the Kidney
title_fullStr Primary Synovial Sarcoma of the Kidney
title_full_unstemmed Primary Synovial Sarcoma of the Kidney
title_short Primary Synovial Sarcoma of the Kidney
title_sort primary synovial sarcoma of the kidney
topic Synovial sarcoma
Renal tumor
Renal mass
PET-CT
SYT-SSX
url http://www.karger.com/Article/FullText/245926
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