1
|
Taniguchi K, Yanai H, Honma R, Yabushita H, Yamasaki R, Ichimura K. A Rare Tumor of Intravascular Myopericytoma in the Right Renal Vein. Int J Surg Pathol 2024:10668969241246490. [PMID: 38689469 DOI: 10.1177/10668969241246490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/02/2024]
Abstract
Myopericytoma, a perivascular myoid neoplasm, is commonly found in the dermis or subcutaneous tissues; however, its occurrence in visceral organs is unusual. Here, we present an extremely rare tumor of intravascular myopericytoma of the right renal vein. A 44-year-old man was incidentally diagnosed with a mass in the right kidney during a routine checkup. A nephrectomy was performed because the urologist suspected renal cancer. A gross examination of the resected specimen revealed a well-circumscribed brown mass in the renal hilum. Histologically, the tumor showed a concentric multilayered proliferation of spindle cells surrounding blood vessels. Immunohistochemical staining showed that the spindle-shaped tumor cells were negative for desmin but positive for α-smooth muscle actin and h-caldesmon, indicating their myoid nature. We confirmed that the tumor was located in the right renal vein because it was encased within a thick wall that was desmin-positive and contained elastic fibers, as shown by Elastica van Gieson staining. The patient was diagnosed with an intravascular myopericytoma of the right renal vein. There are several differential diagnoses for renal mesenchymal tumors, including angiomyolipoma. This emphasizes the importance of considering these uncommon tumors when examining nephrectomy specimens.
Collapse
Affiliation(s)
- Kohei Taniguchi
- Department of Pathology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
| | - Hiroyuki Yanai
- Department of Pathology, Okayama University Hospital, Okayama, Japan
| | - Ririno Honma
- Department of Pathology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
| | - Hiroki Yabushita
- Department of Pathology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
| | - Rie Yamasaki
- Department of Pathology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
| | - Koichi Ichimura
- Department of Pathology, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan
| |
Collapse
|
2
|
Lim JH, Kwon SH, Sim WY, Lew BL. Myopericytoma of the Finger: A Case Report and Literature Review. Ann Dermatol 2022; 34:492-494. [PMID: 36478436 PMCID: PMC9763906 DOI: 10.5021/ad.20.326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 02/10/2021] [Accepted: 03/06/2021] [Indexed: 11/25/2022] Open
Affiliation(s)
- Ji-Hoon Lim
- Department of Dermatology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea
| | - Soon-Hyo Kwon
- Department of Dermatology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea
| | - Woo-Young Sim
- Department of Dermatology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea
| | - Bark-Lynn Lew
- Department of Dermatology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea
| |
Collapse
|
3
|
Manole S, Pintican R, Manole V, Rusneac C, Schiau C, Bene I, Solomon C, Dudea S. Rare Case of Intravascular Myopericytoma-Imaging Characteristics and Review of the Literature. Diagnostics (Basel) 2022; 12:diagnostics12102473. [PMID: 36292162 PMCID: PMC9600947 DOI: 10.3390/diagnostics12102473] [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: 08/25/2022] [Revised: 09/26/2022] [Accepted: 10/05/2022] [Indexed: 11/16/2022] Open
Abstract
Myopericytoma is a rare vessel wall tumor, a subtype of hemangiopericytoma that usually develops subcutaneously. Intravascular myopericytoma is a rarer subtype, with only few cases reported in the literature and even fewer with imaging modalities included. We report the case of a 36-year-old man who was referred to our institution with a painless, palpable mass in the right arm and was evaluated with MRI, grey-scale and Doppler-mode ultrasound. Tumor histopathology and imaging characteristics are presented together with the role that each imaging modality played in the management of the patient.
Collapse
Affiliation(s)
- Simona Manole
- Department of Radiology, “Niculae Stancioiu” Heart Institute, Motilor Street, n. 19-21, 400001 Cluj-Napoca, Romania
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| | - Roxana Pintican
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
- Correspondence:
| | - Viorel Manole
- Department of Cardiovascular Surgery, “Niculae Stancioiu” Heart Institute, Motilor Street, n. 19-21, 400001 Cluj-Napoca, Romania
| | - Cosmin Rusneac
- Department of Radiology, Emergency Clinical County Hospital Cluj-Napoca, Clinicilor Street, n. 3-5, 400006 Cluj-Napoca, Romania
| | - Calin Schiau
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| | - Ioana Bene
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| | - Carolina Solomon
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| | - Sorin Dudea
- Department of Radiology, University of Medicine and Pharmacy “Iuliu Hatieganu” Cluj-Napoca, Babes Street, nr. 8, 400000 Cluj-Napoca, Romania
| |
Collapse
|
4
|
Nagpal R, Ahuja A. Diagnostic dilemma in soft tissue swelling of a finger. Med Pharm Rep 2019; 92:427-429. [PMID: 31750447 PMCID: PMC6853047 DOI: 10.15386/mpr-1377] [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: 05/30/2019] [Revised: 07/29/2019] [Accepted: 08/02/2019] [Indexed: 11/23/2022] Open
Abstract
Myopericytoma is a benign tumor that shows a pericytic line of differentiation. The lesion is generally located in the dermis and subcutaneous tissue and has a predilection for distal extremities, but may be found in any part of the body. We present a case of 48-year old male who came with painful swelling in right middle finger for the past 2 years. Histopathology showed proliferation of spindle-shaped cells exhibiting a hemangio-pericytomatous pattern with various sized vessels lined by flattened endothelium and surrounded by a concentric arrangement of spindle-shaped cells. Tumor cells showed membranous positivity for smooth muscle actin but negative for desmin and CD34. Hence diagnosis of intravenous myopericytoma was established.
Collapse
Affiliation(s)
- Ruchi Nagpal
- Department of Pathology, Bhaskar Medical College & General Hospital, Hyderabad, India
| | - Arvind Ahuja
- Department of Pathology, PGIMER, Dr Ram Manohar Lohia Hospital, New Delhi, India
| |
Collapse
|
5
|
Muro Bushart N, Tharun L, Oheim R, Paech A, Kiene J. Tumorinduzierte Osteomalazie, verursacht durch ein FGF23-sezernierendes Myoperizytom. DER ORTHOPADE 2019; 49:1-9. [DOI: 10.1007/s00132-019-03719-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
|
6
|
Myofibroma arising from a digital artery. J Orthop Sci 2018; 23:604-606. [PMID: 27452742 DOI: 10.1016/j.jos.2016.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Revised: 06/14/2016] [Accepted: 07/05/2016] [Indexed: 11/20/2022]
|
7
|
Miopericitoma del pulpejo del dedo: caso clínico y revisión de la literatura. REVISTA IBEROAMERICANA DE CIRUGÍA DE LA MANO 2017. [DOI: 10.1016/j.ricma.2016.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Se presenta un caso de miopericitoma, tumor benigno de extraordinaria rareza, localizado en la punta de un dedo de la mano de una mujer de 66 años de edad. El diagnóstico se efectuó tras su exéresis mediante el estudio histológico de la lesión, pues la RM no fue concluyente. Sin embargo, la resección quirúrgica constituye el tratamiento de elección, pues la recidiva local o su malignización son prácticamente inexistentes.
Collapse
|
8
|
Morzycki A, Joukhadar N, Murphy A, Williams J. Digital Myopericytoma: A Case Report and Systematic Literature Review. J Hand Microsurg 2017; 9:32-36. [PMID: 28442859 DOI: 10.1055/s-0037-1601397] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Accepted: 02/23/2017] [Indexed: 10/19/2022] Open
Abstract
A myopericytoma (MP) is an exceedingly rare perivascular tumor of unknown etiology. Given their potential for mimicry and malignancy, MP tumors pose a unique challenge for surgeons and may be overlooked on differential diagnosis. We present a case report of an otherwise healthy 33-year-old right-hand dominant male who presented to our outpatient clinic with a 2-month history of painless swelling and erythema of the pulp of his left index finger. Subsequent plain film X-ray showed near-complete bony destruction of his distal phalanx. Pathological evaluation of an incisional biopsy showed a benign variant of MP. The lesion was treated by excision with tumor shelling, and there was no evidence of recurrence 81 days postoperatively. A systematic literature review of the management and outcome of all known cases of hand and wrist MP is presented.
Collapse
Affiliation(s)
- Alexander Morzycki
- Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Nadim Joukhadar
- Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Amanda Murphy
- Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Jason Williams
- Division of Plastic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada
| |
Collapse
|
9
|
Michot A, Chaput B, Alet JM, Pelissier P. Arterial myopericytoma resulting in Guyon's canal syndrome. HAND SURGERY & REHABILITATION 2016; 35:231-233. [PMID: 27740469 DOI: 10.1016/j.hansur.2016.01.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2015] [Revised: 01/13/2016] [Accepted: 01/21/2016] [Indexed: 10/21/2022]
Affiliation(s)
- A Michot
- University of Bordeaux Segalen, Department of plastic, reconstructive and hand surgery, place Amélie-Raba-Léon, 33076 Bordeaux, France; Institut Bergonié, Department of oncological surgery, 229, cours de l'Argonne, 33000 Bordeaux, France.
| | - B Chaput
- University of Toulouse Rangueil, Department of plastic and reconstructive surgery, France
| | - J-M Alet
- University of Bordeaux Segalen, Department of plastic, reconstructive and hand surgery, place Amélie-Raba-Léon, 33076 Bordeaux, France
| | - P Pelissier
- University of Bordeaux Segalen, Department of plastic, reconstructive and hand surgery, place Amélie-Raba-Léon, 33076 Bordeaux, France
| |
Collapse
|
10
|
Intravascular Myopericytoma of the Plantar Region: Case Report and Discussion of the Probable Origin From a Cutaneous Vascular Malformation. Am J Dermatopathol 2016; 38:546-8. [PMID: 26959697 DOI: 10.1097/dad.0000000000000522] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Myopericytoma is a perivascular myoid neoplasm of skin and soft tissues characterized by numerous thin-walled blood vessels surrounded concentrically by round to spindle myoid tumor cells, which shows α-smooth muscle actin and h-caldesmon coexpression and commonly negativity for desmin. These tumors arise predominantly in extremities of adult patients with benign clinical course. Based on the architectural pattern, there are various histologic variants as classical-solid myopericytoma, hemangiopericytoma-like myopericytoma, angioleiomyoma-like myopericytoma, myofibroma-like myopericytoma, hipocelular fibroma-like myopericytoma, intravascular myopericytoma, cellular immature myopericytoma, and malignant myopericytoma. The authors report a case that fully satisfies the morphological and immunohistochemical criteria for intravascular myopericytoma, which plantar location is not previously described in the literature. In addition, the authors discuss about its possible development from a preexistent cutaneous vascular malformation.
Collapse
|
11
|
Valero J, Salcini JL, Gordillo L, Gallart J, González D, Deus J, Lahoz M. Intravascular myopericytoma in the heel: case report and literature review. Medicine (Baltimore) 2015; 94:e642. [PMID: 25789958 PMCID: PMC4602481 DOI: 10.1097/md.0000000000000642] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
Intravascular myopericytoma (IVMP), regarded as a variant of myopericytoma, is a rare tumor. Very few cases have been described, none in the foot.The first case of IVMP located in the heel of the foot is described in this article. A literature review is reported of all cases of IVMP published in the English literature.A 48-year-old man possessed an IVMP on the heel of the right foot. The physical examination and histopathological and ultrasound studies are described. The literature review yielded 5 cases of IVMP, 2 of which were in the thigh and 1 each in the oral mucosa, the periorbital region, and the leg.The possibility that these lesions may be malignant suggests that the histopathological study of vascular tumors should include immunohistochemical tests.
Collapse
Affiliation(s)
- José Valero
- From the Department of Human Anatomy and Histology (ML, JV, JG, DG), Department of Surgery (JD), Zaragoza University, Zaragoza, Spain; Department of Podiatry (JLS, LG), Sevilla University, Sevilla, Spain
| | | | | | | | | | | | | |
Collapse
|
12
|
An atypical presentation of myopericytoma in palmar arch and review of the literature. Case Rep Orthop 2014; 2014:759329. [PMID: 25349759 PMCID: PMC4202198 DOI: 10.1155/2014/759329] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2014] [Accepted: 09/21/2014] [Indexed: 11/17/2022] Open
Abstract
Introduction. Myopericytoma is a very rare perivascular tumor that can be presented with painful mass in lower extremities. We aimed to present an atypical presentation and location of myopericytoma. Presentation of Case. An 18-year-old otherwise healthy individual was admitted to outpatient clinic with complaints of numbness and pain in his right hand. He has had no trauma. On volar aspect of his right hand, a well-circumscribed, painful mass was palpated. MRI results were related to hemangioma. Surgical excision was planned and performed. Pathological investigation revealed the mass is myopericytoma. Discussion. This case demonstrates a rare location and presentation of myopericytoma. Reviewing the literature, discussion was made to expand the horizon for diagnosis and treatment of patients with similar symptoms. Conclusion. Myopericytoma can rarely present with numbness and pain in affected region. Surgical excision is helpful for definitive diagnosis and symptom relief.
Collapse
|