Renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis: A rare case report

Extramedullary hematopoiesis represents a clinical compensatory condition characterized by the growth of hematopoietic tissue outside the bone marrow. It can mainly occur in patient with myeloproliferative disorders where alteration or neoplastic invasion of the bone marrow causes ineffective produc...

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Main Authors: Corrado Ini’, MD, Pietro Valerio Foti, PhD, Andrea Duminuco, MD, Renato Farina, MD, Mariangela Clemenza, MD, Francesco Tiralongo, MD, Emanuele David, MD, Stefano Palmucci, PhD, Giuseppe Alberto Palumbo, PhD, Antonio Basile, PhD
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324001778
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author Corrado Ini’, MD
Pietro Valerio Foti, PhD
Andrea Duminuco, MD
Renato Farina, MD
Mariangela Clemenza, MD
Francesco Tiralongo, MD
Emanuele David, MD
Stefano Palmucci, PhD
Giuseppe Alberto Palumbo, PhD
Antonio Basile, PhD
author_facet Corrado Ini’, MD
Pietro Valerio Foti, PhD
Andrea Duminuco, MD
Renato Farina, MD
Mariangela Clemenza, MD
Francesco Tiralongo, MD
Emanuele David, MD
Stefano Palmucci, PhD
Giuseppe Alberto Palumbo, PhD
Antonio Basile, PhD
author_sort Corrado Ini’, MD
collection DOAJ
description Extramedullary hematopoiesis represents a clinical compensatory condition characterized by the growth of hematopoietic tissue outside the bone marrow. It can mainly occur in patient with myeloproliferative disorders where alteration or neoplastic invasion of the bone marrow causes ineffective production of blood cells with the recruitment of progenitrix blood cells in non-hematopoietic organs, including kidneys. Renal extramedullary hematopoiesis is a rare condition manifesting as parenchymal or perirenal soft tissue masses with different patterns mimicking neoplasms, infectious or vascular diseases. We describe a unique case of a patient affected by primary myelofibrosis underwent ultrasound and magnetic resonance examinations showing bilateral perirenal alterations to be related to hemopoietic tissue. We also focused on the pathophysiology of this condition with imaging correlation. The case we present emphasises the importance of recognising the main radiological features of renal extramedullary hematopoiesis. MR examination should become part of the diagnostic pathway of the patient with primary myelofibrosis.
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spelling doaj.art-f55aa986909846e9b48a661dbd6161af2024-03-23T06:23:52ZengElsevierRadiology Case Reports1930-04332024-06-0119622862291Renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis: A rare case reportCorrado Ini’, MD0Pietro Valerio Foti, PhD1Andrea Duminuco, MD2Renato Farina, MD3Mariangela Clemenza, MD4Francesco Tiralongo, MD5Emanuele David, MD6Stefano Palmucci, PhD7Giuseppe Alberto Palumbo, PhD8Antonio Basile, PhD9Department of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania —Radiology I Unit, University Hospital Policlinico “G. Rodolico-San Marco”, Via Santa Sofia 78, 95123 Catania, Italy; Corresponding author.Department of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania —Radiology I Unit, University Hospital Policlinico “G. Rodolico-San Marco”, Via Santa Sofia 78, 95123 Catania, Italy; NANOMED-Research Centre for Nanomedicine and Pharmaceutical Nanotechnology, University of Catania, 95125 Catania, Italy; Centro di Ricerca Multidisciplinare “Chirurgia delle Sindromi Malformative Complesse della Transizione e dell'Età Adulta” (ChiSMaCoTA), Department of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95123 Catania, ItalyDepartment of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95123 Catania, ItalyDepartment of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania —Radiology I Unit, University Hospital Policlinico “G. Rodolico-San Marco”, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania —Radiology I Unit, University Hospital Policlinico “G. Rodolico-San Marco”, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania —Radiology I Unit, University Hospital Policlinico “G. Rodolico-San Marco”, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania —Radiology I Unit, University Hospital Policlinico “G. Rodolico-San Marco”, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania —Radiology I Unit, University Hospital Policlinico “G. Rodolico-San Marco”, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania, 95123 Catania, ItalyDepartment of Medical Surgical Sciences and Advanced Technologies “G.F. Ingrassia”, University of Catania —Radiology I Unit, University Hospital Policlinico “G. Rodolico-San Marco”, Via Santa Sofia 78, 95123 Catania, ItalyExtramedullary hematopoiesis represents a clinical compensatory condition characterized by the growth of hematopoietic tissue outside the bone marrow. It can mainly occur in patient with myeloproliferative disorders where alteration or neoplastic invasion of the bone marrow causes ineffective production of blood cells with the recruitment of progenitrix blood cells in non-hematopoietic organs, including kidneys. Renal extramedullary hematopoiesis is a rare condition manifesting as parenchymal or perirenal soft tissue masses with different patterns mimicking neoplasms, infectious or vascular diseases. We describe a unique case of a patient affected by primary myelofibrosis underwent ultrasound and magnetic resonance examinations showing bilateral perirenal alterations to be related to hemopoietic tissue. We also focused on the pathophysiology of this condition with imaging correlation. The case we present emphasises the importance of recognising the main radiological features of renal extramedullary hematopoiesis. MR examination should become part of the diagnostic pathway of the patient with primary myelofibrosis.http://www.sciencedirect.com/science/article/pii/S1930043324001778Hematopoiesis (G04.152.825, G09.188.343)Hematopoiesis, Extramedullary (G04.152.825.463, G09.188.343.463)Hematology (H02.403.429.445)Primary myelofibrosis (C15.378.190.636.765)
spellingShingle Corrado Ini’, MD
Pietro Valerio Foti, PhD
Andrea Duminuco, MD
Renato Farina, MD
Mariangela Clemenza, MD
Francesco Tiralongo, MD
Emanuele David, MD
Stefano Palmucci, PhD
Giuseppe Alberto Palumbo, PhD
Antonio Basile, PhD
Renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis: A rare case report
Radiology Case Reports
Hematopoiesis (G04.152.825, G09.188.343)
Hematopoiesis, Extramedullary (G04.152.825.463, G09.188.343.463)
Hematology (H02.403.429.445)
Primary myelofibrosis (C15.378.190.636.765)
title Renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis: A rare case report
title_full Renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis: A rare case report
title_fullStr Renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis: A rare case report
title_full_unstemmed Renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis: A rare case report
title_short Renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis: A rare case report
title_sort renal extramedullary hematopoiesis as an epiphenomenon of bone marrow dysfunction in a patient with primary myelofibrosis a rare case report
topic Hematopoiesis (G04.152.825, G09.188.343)
Hematopoiesis, Extramedullary (G04.152.825.463, G09.188.343.463)
Hematology (H02.403.429.445)
Primary myelofibrosis (C15.378.190.636.765)
url http://www.sciencedirect.com/science/article/pii/S1930043324001778
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