Generic placeholder image

Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

Renal Parenchymal Leiomyoma Mimicking Renal Cell Carcinoma: A Case Report

Author(s): Minkyo Song, Sung Bin Park*, Tae-Jin Lee, Hyun Jeong Park, Eun Sun Lee and Min Ju Kim

Volume 18, Issue 14, 2022

Published on: 06 July, 2022

Article ID: e130522204761 Pages: 5

DOI: 10.2174/1573405618666220513141707

Price: $65

Abstract

Background: Renal leiomyoma is a challenging diagnostic and therapeutic condition. Given that 90% of leiomyomas originate from the renal capsule, leiomyoma presenting as a renal parenchymal mass is extraordinarily rare.

Case Presentation: Herein, we report the clinical and imaging features of a patient with renal leiomyoma occurring in the renal parenchyma and mimicking renal cell carcinoma. We also review the clinical, imaging, and histological features of renal leiomyoma.

Conclusion: An initial partial, simple or radical nephrectomy according to tumor size and patient’s underlying condition is suitable for larger, heterogeneous, and non-peripherally located tumors, even if they demonstrate hypointensity on T1- and T2-weighted images, considering the possibility of other diagnoses.

Keywords: Leiomyoma, kidney, kidney neoplasms, multidetector computed tomography, magnetic resonance imaging.

Graphical Abstract

[1]
Katabathina VS, Vikram R, Nagar AM, Tamboli P, Menias CO, Prasad SR. Mesenchymal neoplasms of the kidney in adults: Imaging spectrum with radiologic-pathologic correlation. Radiographics 2010; 30(6): 1525-40.
[http://dx.doi.org/10.1148/rg.306105517] [PMID: 21071373]
[2]
Prasad SR, Surabhi VR, Menias CO, Raut AA, Chintapalli KN. Benign renal neoplasms in adults: Cross-sectional imaging findings. AJR Am J Roentgenol 2008; 190(1): 158-64.
[http://dx.doi.org/10.2214/AJR.07.2724] [PMID: 18094306]
[3]
Raman SP, Hruban RH, Fishman EK. Beyond renal cell carcinoma: Rare and unusual renal masses. Abdom Imaging 2012; 37(5): 873-84.
[http://dx.doi.org/10.1007/s00261-012-9903-5] [PMID: 22581271]
[4]
Yang DM, Yoon MH, Kim HS, et al. MR imaging findings of renal capsular leiomyoma: A case report. J Korean Radiol Soc 1999; 40: 1193-6.
[http://dx.doi.org/10.3348/jkrs.1999.40.6.1193]
[5]
Steiner M, Quinlan D, Goldman SM, et al. Leiomyoma of the kidney: Presentation of 4 new cases and the role of computerized tomography. J Urol 1990; 143(5): 994-8.
[http://dx.doi.org/10.1016/S0022-5347(17)40163-7] [PMID: 2184259]
[6]
Brunocilla E, Pultrone CV, Schiavina R, Vagnoni V, Caprara G, Martorana G. Renal leiomyoma: Case report and literature review. Can Urol Assoc J 2012; 6(2): E87-90.
[http://dx.doi.org/10.5489/cuaj.11159] [PMID: 22511443]
[7]
Romero FR, Kohanim S, Lima G, Permpongkosol S, Fine SW, Kavoussi LR. Leiomyomas of the kidney: Emphasis on conservative diagnosis and treatment. Urology 2005; 66(6): 1319.
[http://dx.doi.org/10.1016/j.urology.2005.06.078] [PMID: 16360467]
[8]
Lee JH, Ji YH, Lee HJ, et al. Leiomyoma of the kidney parenchyma mimicking renal cell carcinoma. Korean J Urol Oncol 2011; 9(3): 130-2.
[http://dx.doi.org/10.22465/kjuo.2016.14.3.130]
[9]
Kim Y, Sung DJ, Sim KC, et al. Renal tumors with low signal intensities on T2-weighted MR image: Radiologic-pathologic correlation. Abdom Radiol (NY) 2017; 42(8): 2108-18.
[http://dx.doi.org/10.1007/s00261-017-1097-4] [PMID: 28260171]
[10]
Kumar S, Choudhary GR, Nanjappa B, Bal A. Benign medullary fibroma of the kidney: A rare diagnostic dilemma. J Clin Imaging Sci 2013; 3: 43.
[http://dx.doi.org/10.4103/2156-7514.120776] [PMID: 24228211]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy