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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2011 August;170(4):263-6

language: English

Left renal vein leiomyosarcoma

Grasso R. F. 1, Giurazza F. 1, Carcione F. 1, D’Agostino F. 1, Del Vescovo R. 1, Faiella E. 1, Papalia R. 2, Simone G. 2, Gallucci M. 2, Zobel B. B. 1

1 Radiology Department, Campus Bio-Medico University of Rome, Italy;
2 Urology Department, Regina Elena Hospital Rome, Italy


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Leiomyosarcomas are rare but malignant tumors; 60% of them are localized in inferior vein cava district. We present the case report of a 33-year-old man with left renal vein leiomyosarcoma presenting with hematuria and back pain; a computed tomography scan showed a solid mass in left renal pelvis with a diameter of 49x47 mm, with central necrotica areas and esofitic development directed to pelvis; no sign of dilatation of the collecting system. We made a total right nefrectomy removing the tumor, perirenal fat tissue, homolateral adrenal gland and paraortic and renal hilum linfonodes. The tumor was solid, white, with hard-elastic thickness and maximum diameter of 5 cm, close to the hilum. Definitive diagnosis of vascular wall leiomyosarcoma has been reached thanks to the anatomopathological results; neither kidney nor other structures were involved by the mass; all nodes were negatives. At moment the patient is in good clinical conditions.

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