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An anastomosing hemangioma mimicking a renal cell carcinoma in a kidney transplant recipient: a case report.
- Source :
-
BMC nephrology [BMC Nephrol] 2021 Jul 13; Vol. 22 (1), pp. 262. Date of Electronic Publication: 2021 Jul 13. - Publication Year :
- 2021
-
Abstract
- Background: Although anastomosing hemangiomas are very rare and benign vascular neoplasms, these tumors are more common among patients with end-stage kidney disease. Incidental finding of these tumors in the kidney or adrenal gland has been reported. Herein, we describe a case in which an anastomosing hemangioma was misdiagnosed as a renal cell carcinoma before kidney transplant.<br />Case Presentation: A 35-year-old woman with lupus nephritis was admitted to our emergency department for suspected uremic symptoms of nausea and general weakness. She had received hemodialysis due to end-stage kidney disease, and a living-donor kidney transplantation from her father was planned. On pre-operative contrast-enhanced computed tomography and magnetic resonance imaging, a 1.7 cm renal cell carcinoma was observed in the right kidney. On staining after radical nephrectomy, irregularly shaped vascular spaces of various sizes were observed, with these spaces having an anastomosing pattern. As the findings of the anastomosing hemangioma are similar to those of a renal cell carcinoma on imaging, histology examination was necessary to confirm the diagnosis of anastomosing hemangioma and to prevent delay in listing for kidney transplantation. Good kidney function was achieved after transplantation, with no tumor recurrence.<br />Conclusion: Our case underlines the importance for prompt surgical resection of an enhancing renal mass to confirm diagnosis in patients scheduled for kidney transplantation to avoid any delay.<br /> (© 2021. The Author(s).)
- Subjects :
- Adult
Diagnosis, Differential
Diagnostic Errors prevention & control
Female
Humans
Lupus Nephritis complications
Lupus Nephritis diagnosis
Magnetic Resonance Imaging methods
Renal Dialysis methods
Tomography, X-Ray Computed methods
Treatment Outcome
Carcinoma, Renal Cell diagnosis
Hemangioma diagnosis
Hemangioma physiopathology
Hemangioma surgery
Kidney diagnostic imaging
Kidney pathology
Kidney surgery
Kidney Failure, Chronic complications
Kidney Failure, Chronic diagnosis
Kidney Failure, Chronic surgery
Kidney Transplantation methods
Nephrectomy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2369
- Volume :
- 22
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC nephrology
- Publication Type :
- Academic Journal
- Accession number :
- 34256731
- Full Text :
- https://doi.org/10.1186/s12882-021-02467-y