Renal Leiomyoma: A Case Report and Review of the Literature

Larbcharoensub, Noppadol; Limprasert, Vorasit; Pangpunyakulchai, Duangjai; Sanpaphant, Suda; Wiratkapun, Cholatip; Kijvikai, Kittinut

doi:10.1016/j.eucr.2017.03.018

Cited by 8 publications

(12 citation statements)

References 3 publications

(10 reference statements)

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“…Leiomyoma which is the most common benign tumor of the genital tract in women of reproductive age, may rarely arise from almost any part of the genitourinary system. 1 , 2 , 3 , 4 , 5 Renal leiomyoma is extremely rare benign lesion originating from the tunica media layer of renal cortical vascular structures or smooth muscle cells in the renal capsule or renal pelvis, which can be usually classified as subcapsular, capsular, or subpelvic type, respectively. 1 , 2 , 3 , 4 , 5 …”

Section: Discussionmentioning

confidence: 99%

“…Renal leiomyomas are usually detected incidentally in adults with a female predilection (2:1) and the average age has been reported as 47. 1 , 2 , 3 , 4 , 5 These tumors constitute 1.5% of benign renal tumors and 0.3% of overall renal tumors. 5 It has been reported that it is seen in the rate of 4.2–5.2% in autopsy series.…”

Section: Discussionmentioning

confidence: 99%

“… 5 It has been reported that it is seen in the rate of 4.2–5.2% in autopsy series. 1 , 2 , 3 , 4 , 5 To date, few cases have been described in pediatric age. 1 , 2 , 3 …”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Renal leiomyoma: An uncommon differential diagnosis of renal masses in pediatric age

Karabulut

Alkan

Özgür

et al. 2021

Urology Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Renal leiomyoma: An uncommon differential diagnosis of renal masses in pediatric age

Karabulut

Alkan

Özgür

et al. 2021

Urology Case Reports

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“…Leiomyomas are infrequent solid, benign lesions of the kidney which arises from smooth muscle cells of various structures of kidney such as renal capsule, pelvis or vascular smooth muscle (1). In spite of their rarity within the genitourinary system, leiomyomas are frequently detected in the kidneys and are less often non-epithelial benign tumors of the bladder (2).…”

Section: Introductionmentioning

confidence: 99%

“…The differential diagnosis can be difficult with clinical evaluation. Therefore, a variety of immunohistochemical staining methods such as cytokeratin, S100, Mart1 and HMB45 are needed for the definitive diagnosis of leiomyoma (1).…”

Section: Introductionmentioning

confidence: 99%

Challenges in Differential Diagnosis: A Case Series of Four Adult Patients with Renal Leiomyoma

Mercimek¹,

Özden²,

Yakupoğlu³

2019

uob

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terms of clinical, radiological evaluation, surgical management, and histopathological and immunohistological assessment. Case Reports This study was conducted in accordance with the declaration of Helsinki. All patients read the patient information form and written informed consents were obtained. Case 1: A 45-year-old woman with a history of open uterine myomectomy five years ago presented with pain in the left lower quadrant for one week. Physical examination, urine and blood analyses were normal. Abdominal ultrasonography (US) revealed a 5 cm mass in the lower pole of the right pelvic ptotic kidney. Further imaging with computerized tomography (CT) was performed and revealed a completely exophytic, wellcircumscribed, homogeneously contrast enhancing, 6x5 cm renal mass (Figure 1A and Figure 2). Since renal cell carcinoma could not be ruled out, laparoscopic partial nephrectomy was carried out for the management of the renal mass. Postoperative course was uneventful and the patient was discharged on the 3 rd post-operative day. Pathological gross examination of the surgical specimen revealed a 7x5x4 cm fibrillary mass in the form of a benign smooth muscle tumor with a hard-rubbery Leiomyomas are rare, benign and solid tumors of the kidney. Although the developments in radiological imaging methods provide early detection of kidney tumors, it is difficult to differentiate leiomyomas radiologically from other malignant renal tumors. Moreover, the definitive diagnosis of leiomyomas can only be achieved by histopathological and also immunohistochemical evaluation after surgical intervention. Immunohistochemically, positive staining with smooth muscle actin and vimentin, whereas negative staining with cytokeratin, S100, Mart1 and HMB45 are the methods used in the differential diagnosis of leiomyomas. In this case series, after preoperative radiological evaluation, two female and two male patients between 45 and 89 years of age underwent laparoscopic treatment with the diagnosis of a malignant mass in the kidney. We aimed to illustrate the clinical, radiological and histopathological relationship of four adult patients who were managed by laparoscopic approach and diagnosed with renal leiomyoma. Renal leiomyomas should be kept in mind in patients with a renal mass before definitive treatment.

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Giant leiomyoma of the renal capsule: CT and MR imaging features with pathologic correlations

Stanzione

Santangelo

Rosa

et al. 2019

memo

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Renal Leiomyoma: A Case Report and Review of the Literature

Cited by 8 publications

References 3 publications

Renal leiomyoma: An uncommon differential diagnosis of renal masses in pediatric age

Renal leiomyoma: An uncommon differential diagnosis of renal masses in pediatric age

Challenges in Differential Diagnosis: A Case Series of Four Adult Patients with Renal Leiomyoma

Giant leiomyoma of the renal capsule: CT and MR imaging features with pathologic correlations

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