Subepithelial Hematoma of the Renal Pelvis (Antopol-Goldman Lesion)

Oza, Kulin N.; Rezvan, Masoud; Moser, Robert L.

doi:10.1097/00005392-199603000-00066

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2009

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“…Sir : Subepithelial haematoma of renal pelvis is an extremely rare lesion, which was first described by Antopol and Goldman in 1948 1 . This is the 16th case reported in the literature 2 –4 …”

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confidence: 68%

Subepithelial haematoma of the renal pelvis (Antopol–Goldman lesion)

Demirkan

Tuncay²,

Düzcan³

et al. 1999

Histopathology

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mentioning

confidence: 68%

Subepithelial haematoma of the renal pelvis (Antopol–Goldman lesion)

Demirkan

Tuncay²,

Düzcan³

et al. 1999

Histopathology

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“…[5][6][7] The clinical history was not significant even if systemic diseases, malformations, trauma, and drugs abuse such as analgesic or anticoagulative treatment could be related. 1,[8][9][10] The surgical treatment was radical nephrectomy in 25 cases, 11,12 partial nephrectomy in 2 cases, and pelvis plastic surgery in 1 case.…”

Section: Discussionmentioning

confidence: 99%

Subepithelial Pelvic Hematoma (Antopol—Goldman Lesion) Simulating Renal Neoplasm: Report of a Case and Review of the Literature

et al. 2009

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The Antopol-Goldman lesion is a subepithelial pelvic hematoma simulating a renal neoplasm. We report the clinico-pathological features of a single case and a review of the literature. A 76-year-old man presented with flank pain and hematuria. Computed tomography showed a hypodense lesion of 6 cm at the left kidney with filling defect at pyelogram. The patient underwent nephroureterectomy for suspected neoplasm. Macroscopically, a mass of 6 cm was present impinging on the pelvi-caliceal system. Microscopically, the lesion was composed by hemorragic material with feature of an hematoma. A diffuse eosinophilic amorphous material suspicious for amyloid was observed among intra- and extraparenchymal vessels. The Congo-Red staining verified the presence of amyloid. The diagnosis was subepithelial pelvic hematoma with severe amyloidosis. Antopol-Goldman lesion should be kept in mind as a possible differential diagnosis of upper urinary tract lesion to avoid unnecessary nephrectomies. The anamnestic knowledge of amiloydosis may increase this diagnostic hypothesis.

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Subepithelial Hematoma of the Renal Pelvis (Antopol-Goldman Lesion)

Cited by 2 publications

References 1 publication

Subepithelial haematoma of the renal pelvis (Antopol–Goldman lesion)

Subepithelial haematoma of the renal pelvis (Antopol–Goldman lesion)

Subepithelial Pelvic Hematoma (Antopol—Goldman Lesion) Simulating Renal Neoplasm: Report of a Case and Review of the Literature

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