Leiomyosarcoma of the renal pelvis

Leiomyosarcomas are rare malignant tumors of the kidney. They may arise from the renal capsule, renal vein, renal pelvic musculature or renal parenchyma. Renal pelvis is an uncommon site of occurrence, with around 10 cases reported in the literature so far. Here we present a 60-year-old male who pre...

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Main Authors: Dhamne Sagar, Gadgil Nitin, Padmanabhan Anita
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-10-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=4;spage=549;epage=551;aulast=Dhamne
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author Dhamne Sagar
Gadgil Nitin
Padmanabhan Anita
author_facet Dhamne Sagar
Gadgil Nitin
Padmanabhan Anita
author_sort Dhamne Sagar
collection DOAJ
description Leiomyosarcomas are rare malignant tumors of the kidney. They may arise from the renal capsule, renal vein, renal pelvic musculature or renal parenchyma. Renal pelvis is an uncommon site of occurrence, with around 10 cases reported in the literature so far. Here we present a 60-year-old male who presented with increased urinary frequency, lower limb weakness, anorexia and weight loss. Imaging showed a right renal mass. A renal cell carcinoma was suspected clinically. A right nephrectomy was performed, which showed a large circumscribed mass in the hilar region. Histology revealed a tumor mass arising from the renal pelvis. The tumor was composed of spindle cells arranged in fascicles. Immunohistochemistry showed tumor cells to be positive for smooth muscle actin (SMA) and desmin (Des) and negative for cytokeratin (CK), HMB 45, CD117 (C-kit), and CD34. That confirmed the diagnosis of leiomyosarcoma.
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spelling doaj.art-69b6c3b22c1c4df18858bf4d775f231c2022-12-21T23:33:40ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302009-10-01524549551Leiomyosarcoma of the renal pelvisDhamne SagarGadgil NitinPadmanabhan AnitaLeiomyosarcomas are rare malignant tumors of the kidney. They may arise from the renal capsule, renal vein, renal pelvic musculature or renal parenchyma. Renal pelvis is an uncommon site of occurrence, with around 10 cases reported in the literature so far. Here we present a 60-year-old male who presented with increased urinary frequency, lower limb weakness, anorexia and weight loss. Imaging showed a right renal mass. A renal cell carcinoma was suspected clinically. A right nephrectomy was performed, which showed a large circumscribed mass in the hilar region. Histology revealed a tumor mass arising from the renal pelvis. The tumor was composed of spindle cells arranged in fascicles. Immunohistochemistry showed tumor cells to be positive for smooth muscle actin (SMA) and desmin (Des) and negative for cytokeratin (CK), HMB 45, CD117 (C-kit), and CD34. That confirmed the diagnosis of leiomyosarcoma.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=4;spage=549;epage=551;aulast=DhamneKidneyleiomyosarcomarenal pelvis
spellingShingle Dhamne Sagar
Gadgil Nitin
Padmanabhan Anita
Leiomyosarcoma of the renal pelvis
Indian Journal of Pathology and Microbiology
Kidney
leiomyosarcoma
renal pelvis
title Leiomyosarcoma of the renal pelvis
title_full Leiomyosarcoma of the renal pelvis
title_fullStr Leiomyosarcoma of the renal pelvis
title_full_unstemmed Leiomyosarcoma of the renal pelvis
title_short Leiomyosarcoma of the renal pelvis
title_sort leiomyosarcoma of the renal pelvis
topic Kidney
leiomyosarcoma
renal pelvis
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2009;volume=52;issue=4;spage=549;epage=551;aulast=Dhamne
work_keys_str_mv AT dhamnesagar leiomyosarcomaoftherenalpelvis
AT gadgilnitin leiomyosarcomaoftherenalpelvis
AT padmanabhananita leiomyosarcomaoftherenalpelvis