Ces Urol 2004, 8(3):11-13 | DOI: 10.48095/cccu2004013
Leiomyoma of kidney - case study
- 1 Urologická klinika LF UK a FN Plzeň, přednosta doc. MUDr. Milan Hora, Ph.D.
- 2 Šiklův patologicko-anatomícký ústav LF UK a FN Plzeň, přednosta prof. MUDr. Michal Michal
- 3 radiodiagnostické oddělení FN Plzeň, přednosta prim. MUDr. Zdeněk Chudáček Ph.D.
Most of renal tumours (renal cell carcinomas and oncocytoma) arise from epithelium of renal tubules. Angiomyolipoma of kidney is only one most frequent mesenchymal tumour. There are known leiomyomas from case reports.
Ultrasonography revealed incidentally tumour of right kidney in 67-year-old woman with histologically verified myeloproliferative syndrome was incidentally found. CT verified tumour of upper pole of the right kidney 36 mm in maximal diameter, well encapsulated, slightly non-homogenous with density 38 HLJ. Density increased to 79 -115 HLJ after contrast fluid application. Resection of tumour through lumbotomy was performed. Tumour was solid and well circumscribed. Structure was whorled or nodular; tumour was whitish, without haemorrhages and necrosis.
Histopatologist described benign leiomyoma.
Urologist can extremely rarely treat patient with leiomyoma of kidney. Pathologist must exclude angiomyolipoma, primary renal sarcoma and sarcomatoid renal cell carcinoma.
Keywords: leiomyoma of kidney
Published: June 1, 2004
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