Cavernous hemangioma mimicking a cystic renal cell carcinoma

Takaoka, Eiichiro; Sekido, Noritoshi; Naoi, Makito; Matsueda, Kiyoshi; Kawai, Koji; Shimazui, Toru; Akaza, Hideyuki

doi:10.1007/s10147-007-0700-z

Cited by 7 publications

(5 citation statements)

References 7 publications

(13 reference statements)

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“…The probability of getting CH is similar for both sexes. [ 7 , 9 – 11 ] There are no specific symptoms for patients who have abdominal or retroperitoneal CH. Flank pain, symptomatic or asymptomatic hematuria, anemia, thrombocytopenia, renal vein thrombosis (rarely), and even life-threatening bleeding have been reported as symptoms of renal CH.…”

Section: Discussionmentioning

confidence: 99%

A retroperitoneal cavernous hemangioma arising from the gonadal vein

Laih¹,

Hsieh

Chen³

et al. 2020

Medicine

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Rationale: Cavernous hemangioma (CH) is not commonly found within the abdomen or the retroperitoneum. We report the first case of CH originating from the gonadal vein. Diagnosis: A retroperitoneal tumor was found incidentally in a 57-year-old female patient. The differential diagnoses from the initial imaging studies included gastrointestinal stromal tumor, carcinoid tumor, neurogenic tumor, metastasis, lymphadenopathy, or another rare tumor. Interventions: A surgical en-bloc excision was performed via a subcostal incision and intravenous CH arising from a gonadal vein was diagnosis by the urological pathologist. Outcomes: After the surgery, no complications were noted. A computed tomography scan was performed after 3 months follow-up and no tumor recurrence was found. Lessons: This case reminds us that CH should be listed as one of the differential diagnoses for a retroperitoneal tumor. A definite diagnosis of CH relies on surgical resection. The prognosis is well if adequate resection is performed.

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Section: Discussionmentioning

confidence: 99%

A retroperitoneal cavernous hemangioma arising from the gonadal vein

Laih¹,

Hsieh

Chen³

et al. 2020

Medicine

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“…No gender predilection has been found for retroperitoneal CH [8,9], except for tumors in the adrenal gland [10]. The patient’s presenting symptoms were unremarkable, with the main symptom being dull abdominal pain, which would have been due to the slow-growing CH.…”

Section: Discussionmentioning

confidence: 99%

“…In this case, the cyst-like tumor was considered preoperatively to be a benign lesion, separated from the surrounding organs, therefore angiography was not performed. Although the features of the tumor in this case were atypical on US or CT, we did not use MRI in the differential diagnosis; MRI might have been helpful to characterize the inner component of the tumor [4,8,14]. …”

Section: Discussionmentioning

confidence: 99%

Adult primary retroperitoneal cavernous hemangioma: a case report

Hao

et al. 2012

World J Surg Onc

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Primary retroperitoneal cavernous hemangioma (PRCH) in an adult is extremely rare. We report on the diagnosis and treatment of a patient with PRCH with subtle clinical features and atypical findings on imaging scans. A 38-year-old man was admitted to hospital with a 5-day history of epigastralgia after alcohol drinking. Using various imaging methods, we found a giant cyst-like retroperitoneal mass compressing the surrounding organs. Surgical resection of the tumor was performed, and the mass was found to be a cavernous hemangioma measuring 90 × 80 × 60 mm, with a thick fibrotic wall and extensive intracystic hemorrhage. Physicians should be aware that PRCH may mimic a cystic neoplasm, and that a large tumor size probably indicates intracystic hemorrhage. Surgical resection is a curative approach for PRCH.

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“…After intravenous administration of contrast material, renal hemangiomas demonstrate intense arterial enhancement, persisting into the venous phase at CT and MR imaging (Fig 8b, 8c) (6,18). Hemangioma may rarely masquerade as a cyst with an enhancing solid component akin to a cystic renal cell carcinoma (Fig 9) (19). Treatment options include observation, partial nephrectomy, papillectomy, embolization, and total nephrectomy; the choice of treatment depends on the size of the tumor, its location, and the patient's symptoms (16).…”

Section: Hemangiomamentioning

confidence: 99%

Mesenchymal Neoplasms of the Kidney in Adults: Imaging Spectrum with Radiologic-Pathologic Correlation

Katabathina¹,

Vikram²,

Nagar³

et al. 2010

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Mesenchymal neoplasms of the kidney in adults cover a wide spectrum with characteristic ontogeny and histologic findings and variable biologic profiles and imaging findings. Benign mesenchymal renal tumors include angiomyolipoma, leiomyoma, hemangioma, lymphangioma, juxtaglomerular cell tumor, renomedullary interstitial cell tumor (medullary fibroma), lipoma, solitary fibrous tumor, and schwannoma. Malignant renal tumors of mesenchymal origin include leiomyosarcoma, rhabdomyosarcoma, angiosarcoma, osteosarcoma, synovial sarcoma, fibrosarcoma, malignant fibrous histiocytoma, and solitary fibrous tumor. Cross-sectional imaging findings for mesenchymal renal tumors in adults are varied. Although angiomyolipomas and lipomas show macroscopic fat, lymphangiomas are cystic in appearance. Renal hemangioma may show phleboliths and a characteristic enhancement pattern. Leiomyoma typically arises from the capsule and causes buckling of the renal cortex. Although osteosarcoma may demonstrate characteristic dense ossification, most renal sarcomas demonstrate imaging features that are indistinguishable from the more common renal cell carcinoma. Although some renal mesenchymal tumors have typical imaging findings, biopsy is warranted to establish a definitive diagnosis. Awareness of the various mesenchymal renal tumors and familiarity with their imaging findings permit optimal patient management.

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Cavernous hemangioma mimicking a cystic renal cell carcinoma

Cited by 7 publications

References 7 publications

A retroperitoneal cavernous hemangioma arising from the gonadal vein

A retroperitoneal cavernous hemangioma arising from the gonadal vein

Adult primary retroperitoneal cavernous hemangioma: a case report

Mesenchymal Neoplasms of the Kidney in Adults: Imaging Spectrum with Radiologic-Pathologic Correlation

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