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| CASE REPORT |
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| Year : 1996 | Volume
: 42
| Issue : 2 | Page : 50 |
Hemangiopericytoma of the kidney.
AI Sarela, AA Mavanur, ZF Soonawala, HK Shah, AP Desai, AB Samsi
Department of General Surgery & Pathology, Seth GS Medical College & KEM Hospital, Parel, Mumbai.
Correspondence Address:
A I Sarela
Department of General Surgery & Pathology, Seth GS Medical College & KEM Hospital, Parel, Mumbai.
 Source of Support: None, Conflict of Interest: None  | Check |
PMID: 0009715300 
The diagnosis and management of a thirty year old male with a hemangiopericytoma of the kidney is reported.
Keywords: Adult, Case Report, Hemangiopericytoma, complications,pathology,surgery,Hematuria, etiology,Human, Kidney Neoplasms, complications,pathology,surgery,Male,
How to cite this article:
Sarela A I, Mavanur A A, Soonawala Z F, Shah H K, Desai A P, Samsi A B. Hemangiopericytoma of the kidney. J Postgrad Med 1996;42:50 |
A 30-year-old male presented with his first episode of haematuria. He was pale and had a B P of 130/90 mm Hg: Physical examination revealed a firm, bosselated lump occupying the entire right side of the abdomen and extending across the midline. His haemoglobin was 7 gm%. Renal chemistry, fasting blood sugar and X-ray chest were normal. A CT scan of the abdomen showed the right kidney to be enormously enlarged with a well-defined capsule and multiple low attenuation areas of irregular size and shape. The pelvicalyceal system was pushed eccentrically to the anterolateral aspect of the kidney. Angiogram showed a hypervascular pattern. A right radical nephrectomy was done via the transperitoneal approach. There was a 20 cm X 15 cm solitary, well-circumscribed mass arising from the region of the renal hilum and compressing the renal parenchyma. [Figure - 1]. One year after surgery, the patient is well without any local recurrence or distant metastases.
Hemangiopericytoma, taking origin from the pericytes of Zimmerman, was first described by Stout and Murray (1942). It most commonly involves the lower extremities and the retroperitoneum of adults in the third to sixth decades. Twenty case reports of kidney involvement were found in literature. Approximately half took origin from the renal parenchyma while the others arose from either the renal capsule or the renal pelvis.
Patients may present with either flank pain, a palpable mass of haematuria. Both hypo and hypervascular angiographic patterns have been described.
These tumours are predominantly benign, but approximately 15% show haematogenous metastasis. However, the nature cannot always be accurately predicted by histological appearance. Hence, these must be treated as low grade malignancies warranting a close follow-up. Radical nephrectomy remains the mainstay of treatment.
We are grateful to the Dean of Seth GS Medical College & King Edward Memorial Hospital for allowing us to publish this case paper.
| :: References | |  |
| 1. |
Enzinger FM, Weiss SW. Soft Tissue Tumours Second edition. St. Louis: CV Mosby Company; 1988, Chapter 23, pp 596-613.  |
| 2. | Peterson RO. Urologic Pathology. First edition. Philadelphia: JB Lipincott Company; 1986, Chapter 1, pp 123-124. |
| 3. | Siniluoto TMJ, Paivansalo MJ, Hellstrom PA. Hemangiopericytoma of the Kidney: A case with Preoperative Ethanol Embolization. J Urol 1988; 140:137-138.
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Figures
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| This article has been cited by | | 1 |
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Renal haemangiopericytoma: the characteristics of a rare tumour |
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| Argyropoulos A, Liakatas I, Lykourinas M | | BJU INTERNATIONAL. 2005; 95 (7): 943-947 | | [Pubmed] | | | 3 |
Renal and hepatic metastases of a meningeal haemangiopericytoma |
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| Soares P, Ferlicot S, Laasou K, et al. | | PROGRES EN UROLOGIE. 2003; 13 (3): 498-501 | | [Pubmed] | |
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