Challenges in Differential Diagnosis: A Case Series of Four Adult Patients with Renal Leiomyoma
Journal Title: Türkderm - Deri Hastalıkları ve Frengi Arşivi - Year 2019, Vol 18, Issue 4
Abstract
Leiomyomas are rare, benign and solid tumors of the kidney. Although the developments in radiological imaging methods provide early detection of kidney tumors, it is difficult to differentiate leiomyomas radiologically from other malignant renal tumors. Moreover, the definitive diagnosis of leiomyomas can only be achieved by histopathological and also immunohistochemical evaluation after surgical intervention. Immunohistochemically, positive staining with smooth muscle actin and vimentin, whereas negative staining with cytokeratin, S100, Mart1 and HMB45 are the methods used in the differential diagnosis of leiomyomas. In this case series, after preoperative radiological evaluation, two female and two male patients between 45 and 89 years of age underwent laparoscopic treatment with the diagnosis of a malignant mass in the kidney. We aimed to illustrate the clinical, radiological and histopathological relationship of four adult patients who were managed by laparoscopic approach and diagnosed with renal leiomyoma. Renal leiomyomas should be kept in mind in patients with a renal mass before definitive treatment.
Authors and Affiliations
Mehmet Necmettin Mercimek, Ender Özden, Yarkın Kamil Yakupoğlu
Keywords
Related Articles
- EP ID EP665795
- DOI 10.4274/uob.galenos.2019.1212
- Views 91
- Downloads 0
Vestibular papillomatosis mimicking genital warts in a pregnant woman
Vestibular papillomatosis (VP) is considered as an anatomical variant of vulva and suggested as the counterpart of pearly penile papules in males. The condition, approximately present in about 1% of women, is characteriz...
Nail dermoscopy findings in childhood psoriasis
Background and Design: Nail dermatoscopy or onychoscopy refers to the examination of the nail unit which consists of the proximal and lateral nail folds, hyponychium, nail plate and nail bed non-invasively. Nail biopsies...
Factors affecting the development of scar formation in abdominal surgery performed for gynecologic and obstetric conditions
Background and Design: The aim of this study is to investigate whether there can be a difference in types of scars developed on the same type of incisions due to cesarean section or benign gynecologic operations, and to...
Investigation of skin infection frequency in Turkish wrestlers
Background and Design: The aim of this study was to determine the frequency of dermatological infections among Turkish wrestlers. Materials and Methods: We included 202 wrestlers from different regions of Turkey who volu...
SAPHO syndrome associated with acne fulminans in an adolescent patient
Here, we present an adolescence patient of SAPHO syndrome successfully treated with etanercept and isotretinoin.