A case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis: A great mimicker

Anastomosing hemangioma (AH) are rare mesenchymal neoplasms affecting kidney with about 50 cases reported in English literature. In general, they are accidentally detected during examination or imaging done for nonspecific symptoms or wellness check-up. There are no key diagnostic features on the im...

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Main Authors: Vidhya Manohar, Shantha Krishnamurthy, Jyothi Ranganathan, Vishwas D Pai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2020;volume=63;issue=2;spage=292;epage=294;aulast=Manohar
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author Vidhya Manohar
Shantha Krishnamurthy
Jyothi Ranganathan
Vishwas D Pai
author_facet Vidhya Manohar
Shantha Krishnamurthy
Jyothi Ranganathan
Vishwas D Pai
author_sort Vidhya Manohar
collection DOAJ
description Anastomosing hemangioma (AH) are rare mesenchymal neoplasms affecting kidney with about 50 cases reported in English literature. In general, they are accidentally detected during examination or imaging done for nonspecific symptoms or wellness check-up. There are no key diagnostic features on the imaging modalities. The most common preoperative diagnosis has been a malignant primary renal carcinoma. Surgical resection remains the mainstay of treatment and of choice in symptomatic lesions. We are presenting a rare case of giant AH of the kidney mimicking a renal cell carcinoma on imaging. The lesions are characterized by anastomosing sinusoidal-like vascular spaces lined by banal endothelial cells with occasional hobnail morphology and associated with extramedullary hematopoiesis. The treatment of choice could be a conservative approach in small and asymptomatic lesions and patients with pre-existing renal dysfunction; hence, this entity should be in the differential of vascular renal neoplasms considering its proclivity to the urogenital tract. This is the first case in Indian literature to the best of our knowledge.
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spelling doaj.art-e778e11e88ea4a35a4ddf021b8eb9a482022-12-22T02:05:08ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292020-01-0163229229410.4103/IJPM.IJPM_434_18A case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis: A great mimickerVidhya ManoharShantha KrishnamurthyJyothi RanganathanVishwas D PaiAnastomosing hemangioma (AH) are rare mesenchymal neoplasms affecting kidney with about 50 cases reported in English literature. In general, they are accidentally detected during examination or imaging done for nonspecific symptoms or wellness check-up. There are no key diagnostic features on the imaging modalities. The most common preoperative diagnosis has been a malignant primary renal carcinoma. Surgical resection remains the mainstay of treatment and of choice in symptomatic lesions. We are presenting a rare case of giant AH of the kidney mimicking a renal cell carcinoma on imaging. The lesions are characterized by anastomosing sinusoidal-like vascular spaces lined by banal endothelial cells with occasional hobnail morphology and associated with extramedullary hematopoiesis. The treatment of choice could be a conservative approach in small and asymptomatic lesions and patients with pre-existing renal dysfunction; hence, this entity should be in the differential of vascular renal neoplasms considering its proclivity to the urogenital tract. This is the first case in Indian literature to the best of our knowledge.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2020;volume=63;issue=2;spage=292;epage=294;aulast=Manoharanastomosingbenignhemangiomarenal
spellingShingle Vidhya Manohar
Shantha Krishnamurthy
Jyothi Ranganathan
Vishwas D Pai
A case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis: A great mimicker
Indian Journal of Pathology and Microbiology
anastomosing
benign
hemangioma
renal
title A case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis: A great mimicker
title_full A case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis: A great mimicker
title_fullStr A case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis: A great mimicker
title_full_unstemmed A case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis: A great mimicker
title_short A case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis: A great mimicker
title_sort case of giant anastomosing hemangioma of the kidney with extramedullary hematopoiesis a great mimicker
topic anastomosing
benign
hemangioma
renal
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2020;volume=63;issue=2;spage=292;epage=294;aulast=Manohar
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