Ces Urol 2003, 7(4):28-31 | DOI: 10.48095/cccu2003026

Primary leiomyosarkoma of the kidney - a case report

P. Prošvic¹, P. Morávek¹, Z. Veselský¹, P. Macek¹, K. Odrážka², M. Podhola³

Fakultní nemocnice a Lékařská fakulta Univerzity Karlovy Hradec Králové

¹ Urologická klinika, přednosta doc. MUDr. Petr Morávek, CSc.

² Klinika onkologie a radioterapie, přednosta doc. MUDr. Jiří Petera, Ph.D.

³ Fingerlandův ústav patologie, přednosta prof. MUDr. Ivo Šteiner, CSc.

The authors describe the finding of a rare tumorous disease of the kidney - primary leiomyosarkoma. Pre-operative diagnosis done with the help of imaging methods was a carcinoma of the kidney in a 71-year old man. Right-sided transperitoneal nephrectomy was performed in February 2001. The tumor was localised in the parenchyma of the kidney. Histological diagnosis was leiomyosarcoma. Further investigations excluded other primary localisation or metastases. Two small metastases appeared on plain chest X-ray and were confirmed by spiral CT six and a half months after the surgery. The patient was referred to oncologist care, where he underwent six cycles of chemotherapy of MAID (mesna, adriamycin, ifosfamid, dacarbazine), after which partial remission with subsequent stabilisation was achieved. The patient lived in a good condition until December 2002. Progression of the disease in the site of meatastases appeared in mid-December and death followed in three weeks.

Keywords: kidney, parenchyma, leiomyosarkoma

Published: September 1, 2003