A case of leiomyosarcoma of the kidney

Authors

  • R.C. Adhikari Department of Pathology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal Author
  • G. Sayami Department of Pathology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Author
  • S. Dali Department of Pathology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Author
  • H.G. Shrestha Department of Pathology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Author

DOI:

https://doi.org/10.59779/jiomnepal.227

Abstract

Introduction: Sarcomas of the kidney are rare.Among primary sarcomas, leiomyosarcoma is the most frequent. A case of primary renal leiomyosarcoma is presented.

Case report: This report concerns a 48-year-old woman, who presented with slowly increasing right flank mass and dull aching pain. A well-defined, gray, firm mass measuring 12.5 x 10.5 cm was histologically composed of interlacing bundles of spindle cells with cellular atypia and nuclear
hyperchromasia. Mitotic figures constituted 10-12/ 10 HPF. Tumor cells showed positivity for desmin. The differentiation from sarcomatoid renal cell carcinoma is discussed.

Conclusion: The case is reported for its rarity and this is the first reported case of renal leiomyosarcoma
in Nepal.

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Published

2024-07-18

How to Cite

A case of leiomyosarcoma of the kidney. (2024). Journal of Institute of Medicine Nepal, 28(1), 74-76. https://doi.org/10.59779/jiomnepal.227