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Yamamoto T, Narita A, Saga T, Okada H, Matsunaga N, Kawai H, Masumori T, Kajikawa K, Takahara T, Suzuki K. Huge schwannoma arising from the renal sinus: A case report with imaging and literature review. Radiol Case Rep 2025; 20:3454-3458. [PMID: 40385510 PMCID: PMC12084396 DOI: 10.1016/j.radcr.2025.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2024] [Revised: 03/26/2025] [Accepted: 04/04/2025] [Indexed: 05/20/2025] Open
Abstract
Renal sinus schwannomas are extremely rare. In this study, we inform a case of a large schwannoma that was suspected to have originated in the renal sinus based on preoperative imaging. A male in his 40s was referred to our hospital due to the incidental detection of a large tumor in his right kidney was during an abdominal CT scan performed to discover the underlying cause of decreased renal function. The tumor was a well-circumscribed mass, 17 cm in diameter, and contained large cystic degeneration. The contrast-enhanced CT revealed that the tumor was pressing on the normal structures of the renal parenchyma, renal pelvis, and renal artery. MRI was taken. The solid part of the tumor showed a uniform slightly high signal on T2-weighted image. Consequently, nephrectomy was performed. On pathological examination, the tumor was schwannoma originated in the renal sinus. If a huge well-circumscribed tumor is found in the renal sinus, a schwannoma should be listed in the differential.
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Affiliation(s)
- Takahiro Yamamoto
- Department of Radiology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Akiko Narita
- Department of Radiology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Toshinobu Saga
- Department of Radiology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Hiroaki Okada
- Department of Radiology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Nozomu Matsunaga
- Department of Radiology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Hisashi Kawai
- Department of Radiology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Taiki Masumori
- Department of Urology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Keishi Kajikawa
- Department of Urology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Taishi Takahara
- Department of Surgical Pathology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
| | - Kojiro Suzuki
- Department of Radiology, Aichi Medical University, 1-1 Yazako Karimata, Nagakute City, Aichi, 480-1195, Japan
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Larbcharoensub N, Limprasert V, Pangpunyakulchai D, Sanpaphant S, Wiratkapun C, Kijvikai K. Renal Leiomyoma: A Case Report and Review of the Literature. Urol Case Rep 2017; 13:3-5. [PMID: 28417074 PMCID: PMC5388908 DOI: 10.1016/j.eucr.2017.03.018] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2017] [Accepted: 03/16/2017] [Indexed: 11/30/2022] Open
Abstract
Leiomyoma is an uncommon tumor of the kidney. The authors report a rare case of renal leiomyoma in a 39-year-old male patient who presented with a right flank mass. Laparoscopic nephrectomy was performed. The histopathology and immunohistochemistry confirm the diagnosis of renal leiomyoma. The review of literature in the clinicoradiopathological correlation was illustrated.
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Affiliation(s)
- Noppadol Larbcharoensub
- Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Vorasit Limprasert
- Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Duangjai Pangpunyakulchai
- Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Suda Sanpaphant
- Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Cholatip Wiratkapun
- Department of Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Kittinut Kijvikai
- Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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Karaosmanoğlu AD, Onur MR, Shirkhoda A, Ozmen M, Hahn PF. Unusual benign solid neoplasms of the kidney: cross-sectional imaging findings. Diagn Interv Radiol 2016. [PMID: 26200482 DOI: 10.5152/dir.2015.14545] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Kidney neoplasms are common diseases with varying prognoses depending on the subtype of the tumor. The most common solid lesion of the kidney is renal cell carcinoma, and the treatment is typically surgical removal. With increasing use of cross-sectional imaging in the last two decades, the detection of renal lesions has significantly increased, especially in asymptomatic patients who are scanned for other reasons. In this article, we present the imaging findings of rare solid benign primary kidney neoplasms including renal leiomyoma, reninoma, carcinoid tumor, metanephric adenoma, solitary fibrous tumor of the kidney, lipomatous hemangiopericytoma of the kidney, renal schwannoma, inflammatory myofibroblastic tumor of the kidney, extramedullary hematopoiesis in the kidney, and extranodal renal Rosai-Dorfman disease. Accurate preoperative or prebiopsy diagnoses of these lesions are unusual; however, informed radiologists may sometimes be able to favorably change the patient management and treatment.
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Goren MR, Erbay G, Ozer C, Goren V, Bal N. Bilateral renal leiomyoma with 5 year follow-up: Case report. Can Urol Assoc J 2015; 9:E734-6. [PMID: 26664510 DOI: 10.5489/cuaj.3011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Renal leiomyomas are exceptionally rare benign tumours of the kidney. Although the renal leiomyomas usually do not metastasize, the differential diagnosis between renal leiomyomas and malign lesions (leiomyosarcoma or renal cell carcinoma) cannot be done by radiological examinations, but is possible by histological examination. Surgery is the preferred treatment. After surgery, the prognosis is excellent without recurrence. Although uterine leiomyomas can be multicentric, renal leiomyomas have been single lesions. We report an incidentally detected case of bilateral renal leiomyoma in a 50-year-old woman with a 5-year follow-up. We also review the literature and discuss clinical, radiological and histological features of renal leiomyomas.
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Affiliation(s)
- Mehmet Resit Goren
- Department of Urology, Baskent University Adana Medical and Research Center, Adana, Turkey
| | - Gurcan Erbay
- Department of Radiology, Baskent University Adana Medical and Research Center, Adana, Turkey
| | - Cevahir Ozer
- Department of Urology, Baskent University Adana Medical and Research Center, Adana, Turkey
| | - Vinil Goren
- Department of Radiology, Minister of Health Adana Numune Training and Research Hospital, Adana, Turkey
| | - Nebil Bal
- Department of Pathology, Baskent University Adana Medical and Research Center, Adana, Turkey
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Onur MR, Akin MM, Onur AR. Renal leiomyoma: ultrasonography and computed tomography features with histopathologic correlation. Eurasian J Med 2013; 45:214-7. [PMID: 25610282 DOI: 10.5152/eajm.2013.42] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2013] [Accepted: 05/05/2013] [Indexed: 11/22/2022] Open
Abstract
Renal leiomyomas are not uncommon mesenchymal neoplasms of the kidney, found in 5% of autopsy specimens and comprising 0.3% of all treated tumors. These tumors arise from the smooth muscle cells of the kidney and are mostly located in the renal capsule. Typical imaging features of renal leiomyomas include a peripheral location, well-defined margins, and hyperattenuation on nonenhanced computed tomography (CT) images. The differential diagnosis of renal leiomyomas includes benign and malignant solid neoplasms of the kidney. Familiarity with typical renal leiomyoma imaging findings may help in the management of these patients and prevent unnecessary surgery.
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Affiliation(s)
- Mehmet Ruhi Onur
- University of Firat Faculty of Medicine, Department of Radiology, Elazig, Turkey
| | - Mehmet Mustafa Akin
- University of Firat Faculty of Medicine, Department of Pathology, Elazig, Turkey
| | - Ahmet Rahmi Onur
- University of Firat Faculty of Medicine, Department of Urology, Elazig, Turkey
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