Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder

Introduction: There exist few reports of de novo tumors involving an allograft kidney, and to the best of our knowledge there are only two previous reports of angiomyxoma Case Presentation: A 53-year-old Caucasian male with end-stage renal disease (ESRD) on hemodialysis (HD) secondary to malakoplaki...

Full description

Bibliographic Details
Main Authors: Paulette Cutruzzula Dreher, Jessica M. Fazendin, Kelly Lurz, Daniel C. Edwards, Stephen Guy, Melanie Amster
Format: Article
Language:English
Published: Society of Diabetic Nephropathy Prevention 2020-04-01
Series:Journal of Nephropathology
Subjects:
Online Access:https://nephropathol.com/PDF/jnp-9-e20.pdf
_version_ 1797828003744448512
author Paulette Cutruzzula Dreher
Jessica M. Fazendin
Kelly Lurz
Daniel C. Edwards
Stephen Guy
Melanie Amster
author_facet Paulette Cutruzzula Dreher
Jessica M. Fazendin
Kelly Lurz
Daniel C. Edwards
Stephen Guy
Melanie Amster
author_sort Paulette Cutruzzula Dreher
collection DOAJ
description Introduction: There exist few reports of de novo tumors involving an allograft kidney, and to the best of our knowledge there are only two previous reports of angiomyxoma Case Presentation: A 53-year-old Caucasian male with end-stage renal disease (ESRD) on hemodialysis (HD) secondary to malakoplakia with three failed prior renal transplants presented for repeat transplant evaluation. Imaging demonstrated a mass of the transplanted kidney suggestive of posttransplant lymphoproliferative disease (PTLPD). A biopsy was obtained revealing a predominance of myxoid material. The patient became increasingly symptomatic from the mass and underwent a palliative right transplant nephrectomy. Final pathology revealed angiomyxoid tumor. Conclusions: Angiomyxomas are asymptomatic, appear as PTLD on imaging and should be considered in the differential diagnosis of masses occurring in renal transplant allografts.
first_indexed 2024-04-09T12:57:30Z
format Article
id doaj.art-cd6b8fc6f3344366802fde73aa1f8681
institution Directory Open Access Journal
issn 2251-8363
2251-8819
language English
last_indexed 2024-04-09T12:57:30Z
publishDate 2020-04-01
publisher Society of Diabetic Nephropathy Prevention
record_format Article
series Journal of Nephropathology
spelling doaj.art-cd6b8fc6f3344366802fde73aa1f86812023-05-13T11:26:50ZengSociety of Diabetic Nephropathy PreventionJournal of Nephropathology2251-83632251-88192020-04-0192e20e2010.34172/jnp.2020.20jnp-4787Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorderPaulette Cutruzzula Dreher0Jessica M. Fazendin1Kelly Lurz2Daniel C. Edwards3Stephen Guy4Melanie Amster5Department of Urology, Hahnemann University Hospital, Philadelphia, PA, USADepartment of General Surgery, Drexel University College of Medicine, Philadelphia, PA, USADepartment of Urology, Hahnemann University Hospital, Philadelphia, PA, USADepartment of Urology, Hahnemann University Hospital, Philadelphia, PA, USADepartment of Urology, Hahnemann University Hospital, Philadelphia, PA, USADepartment of Urology, Hahnemann University Hospital, Philadelphia, PA, USAIntroduction: There exist few reports of de novo tumors involving an allograft kidney, and to the best of our knowledge there are only two previous reports of angiomyxoma Case Presentation: A 53-year-old Caucasian male with end-stage renal disease (ESRD) on hemodialysis (HD) secondary to malakoplakia with three failed prior renal transplants presented for repeat transplant evaluation. Imaging demonstrated a mass of the transplanted kidney suggestive of posttransplant lymphoproliferative disease (PTLPD). A biopsy was obtained revealing a predominance of myxoid material. The patient became increasingly symptomatic from the mass and underwent a palliative right transplant nephrectomy. Final pathology revealed angiomyxoid tumor. Conclusions: Angiomyxomas are asymptomatic, appear as PTLD on imaging and should be considered in the differential diagnosis of masses occurring in renal transplant allografts.https://nephropathol.com/PDF/jnp-9-e20.pdfangiomyxoid tumorrenal transplantpost-transplant lymphoproliferative diseasemalakoplakia
spellingShingle Paulette Cutruzzula Dreher
Jessica M. Fazendin
Kelly Lurz
Daniel C. Edwards
Stephen Guy
Melanie Amster
Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder
Journal of Nephropathology
angiomyxoid tumor
renal transplant
post-transplant lymphoproliferative disease
malakoplakia
title Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder
title_full Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder
title_fullStr Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder
title_full_unstemmed Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder
title_short Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder
title_sort painful angiomyxoid tumor in a failed renal allograft presenting as post transplant lymphoproliferative disorder
topic angiomyxoid tumor
renal transplant
post-transplant lymphoproliferative disease
malakoplakia
url https://nephropathol.com/PDF/jnp-9-e20.pdf
work_keys_str_mv AT paulettecutruzzuladreher painfulangiomyxoidtumorinafailedrenalallograftpresentingasposttransplantlymphoproliferativedisorder
AT jessicamfazendin painfulangiomyxoidtumorinafailedrenalallograftpresentingasposttransplantlymphoproliferativedisorder
AT kellylurz painfulangiomyxoidtumorinafailedrenalallograftpresentingasposttransplantlymphoproliferativedisorder
AT danielcedwards painfulangiomyxoidtumorinafailedrenalallograftpresentingasposttransplantlymphoproliferativedisorder
AT stephenguy painfulangiomyxoidtumorinafailedrenalallograftpresentingasposttransplantlymphoproliferativedisorder
AT melanieamster painfulangiomyxoidtumorinafailedrenalallograftpresentingasposttransplantlymphoproliferativedisorder