Epithelioid angiosarcoma arising in schwannoma of the kidney: report of the first case and review of the literature
Identifieur interne : 000A57 ( Pmc/Curation ); précédent : 000A56; suivant : 000A58Epithelioid angiosarcoma arising in schwannoma of the kidney: report of the first case and review of the literature
Auteurs : G. Iannaci [Italie] ; M. Crispino [Italie] ; P. Cifarelli [Italie] ; M. Montella [Italie] ; I. Panarese [Italie] ; A. Ronchi [Italie] ; R. Russo [Italie] ; G. Tremiterra [Italie] ; R. Luise [Italie] ; P. Sapere [Italie]Source :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2016.
Abstract
Schwannoma and angiosarcoma are infrequent pathologies that have been rarely reported in the kidney. Angiosarcoma is an uncommon malignant tumor presenting a recognizable vascular differentiation. It can develop in any site but the most common locations include the skin, soft tissues, breast, bone, liver, and spleen while renal localization has been very rarely reported in the literature. Schwannoma is a benign peripheral nerve sheath tumor composed of cells with the immunophenotype and ultrastructural features of differentiated Schwann cells. It has a wide anatomical distribution but the most frequent locations include subcutaneous tissues of the extremities and the head and neck region and the retroperitoneal and mediastinal soft tissues. The occurrence of an angiosarcoma in a pre-existing schwannoma is an extremely rare event with <20 cases reported in worldwide literature. In the present study, a renal case of angiosarcoma arising in schwannoma is presented with a detailed review of the pertinent literature.
A 56-year-old man was admitted with a few days history of lower back pain and hematuria. Abdominal ultrasound showed a mass inside the left renal medulla. Subsequent imaging investigations with computed tomography and magnetic resonance confirmed the presence of the lesion and showed a pulmonary metastasis.
The final histopathological examination led to the diagnosis of epithelioid angiosarcoma arising in a schwannoma. The patient came to death a few months later due to a massive hemothorax. To the best of our knowledge, the present is the first case of an angiosarcoma arising in a schwannoma of the kidney.
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DOI: 10.1186/s12957-016-0789-5
PubMed: 26842370
PubMed Central: 4739400
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Maria del Popolo degli Incurabili Hospital ASL Na1, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Cifarelli, P" sort="Cifarelli, P" uniqKey="Cifarelli P" first="P." last="Cifarelli">P. Cifarelli</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Urology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Urology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Montella, M" sort="Montella, M" uniqKey="Montella M" first="M." last="Montella">M. 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Maria del Popolo degli Incurabili Hospital ASL Na1, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26842370</idno><idno type="pmc">4739400</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739400</idno><idno type="RBID">PMC:4739400</idno><idno type="doi">10.1186/s12957-016-0789-5</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000A58</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000A58</idno><idno type="wicri:Area/Pmc/Curation">000A57</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000A57</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Epithelioid angiosarcoma arising in schwannoma of the kidney: report of the first case and review of the literature</title><author><name sortKey="Iannaci, G" sort="Iannaci, G" uniqKey="Iannaci G" first="G." last="Iannaci">G. Iannaci</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Pathology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Crispino, M" sort="Crispino, M" uniqKey="Crispino M" first="M." last="Crispino">M. Crispino</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Urology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Urology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Cifarelli, P" sort="Cifarelli, P" uniqKey="Cifarelli P" first="P." last="Cifarelli">P. Cifarelli</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Urology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Urology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Montella, M" sort="Montella, M" uniqKey="Montella M" first="M." last="Montella">M. Montella</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Pathology, School of Medicine, University Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, School of Medicine, University Federico II, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Panarese, I" sort="Panarese, I" uniqKey="Panarese I" first="I." last="Panarese">I. Panarese</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Pathology, School of Medicine, University Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, School of Medicine, University Federico II, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Ronchi, A" sort="Ronchi, A" uniqKey="Ronchi A" first="A." last="Ronchi">A. Ronchi</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Pathology, School of Medicine, University Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, School of Medicine, University Federico II, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Russo, R" sort="Russo, R" uniqKey="Russo R" first="R." last="Russo">R. Russo</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Pathology, School of Medicine, University Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, School of Medicine, University Federico II, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Tremiterra, G" sort="Tremiterra, G" uniqKey="Tremiterra G" first="G." last="Tremiterra">G. Tremiterra</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Pathology, School of Medicine, University Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, School of Medicine, University Federico II, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Luise, R" sort="Luise, R" uniqKey="Luise R" first="R." last="Luise">R. Luise</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Division of Pathology, School of Medicine, University Federico II, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, School of Medicine, University Federico II, Naples</wicri:regionArea></affiliation></author><author><name sortKey="Sapere, P" sort="Sapere, P" uniqKey="Sapere P" first="P." last="Sapere">P. Sapere</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Pathology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples</wicri:regionArea></affiliation></author></analytic><series><title level="j">World Journal of Surgical Oncology</title><idno type="eISSN">1477-7819</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Schwannoma and angiosarcoma are infrequent pathologies that have been rarely reported in the kidney. Angiosarcoma is an uncommon malignant tumor presenting a recognizable vascular differentiation. It can develop in any site but the most common locations include the skin, soft tissues, breast, bone, liver, and spleen while renal localization has been very rarely reported in the literature. Schwannoma is a benign peripheral nerve sheath tumor composed of cells with the immunophenotype and ultrastructural features of differentiated Schwann cells. It has a wide anatomical distribution but the most frequent locations include subcutaneous tissues of the extremities and the head and neck region and the retroperitoneal and mediastinal soft tissues. The occurrence of an angiosarcoma in a pre-existing schwannoma is an extremely rare event with <20 cases reported in worldwide literature. In the present study, a renal case of angiosarcoma arising in schwannoma is presented with a detailed review of the pertinent literature.</p></sec><sec><title>Case Presentation</title><p id="Par222">A 56-year-old man was admitted with a few days history of lower back pain and hematuria. Abdominal ultrasound showed a mass inside the left renal medulla. Subsequent imaging investigations with computed tomography and magnetic resonance confirmed the presence of the lesion and showed a pulmonary metastasis.</p></sec><sec><title>Conclusions</title><p>The final histopathological examination led to the diagnosis of epithelioid angiosarcoma arising in a schwannoma. The patient came to death a few months later due to a massive hemothorax. To the best of our knowledge, the present is the first case of an angiosarcoma arising in a schwannoma of the kidney.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Eldridge, R" uniqKey="Eldridge R">R Eldridge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Vries, M" uniqKey="De Vries M">M De Vries</name></author><author><name sortKey="Van Der Mey, Ag" uniqKey="Van Der Mey A">AG van der Mey</name></author><author><name sortKey="Hogendoorn, Pc" uniqKey="Hogendoorn P">PC Hogendoorn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcmenamin, Me" uniqKey="Mcmenamin M">ME McMenamin</name></author><author><name sortKey="Fletcher, Cdm" uniqKey="Fletcher C">CDM Fletcher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mentzel, T" uniqKey="Mentzel T">T Mentzel</name></author><author><name 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<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Surg Oncol</journal-id><journal-id journal-id-type="iso-abbrev">World J Surg Oncol</journal-id><journal-title-group><journal-title>World Journal of Surgical Oncology</journal-title></journal-title-group><issn pub-type="epub">1477-7819</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26842370</article-id><article-id pub-id-type="pmc">4739400</article-id><article-id pub-id-type="publisher-id">789</article-id><article-id pub-id-type="doi">10.1186/s12957-016-0789-5</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Epithelioid angiosarcoma arising in schwannoma of the kidney: report of the first case and review of the literature</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Iannaci</surname><given-names>G.</given-names></name><address><phone>+39 0812549488</phone><email>giuseppe.iannaci@tin.it</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Crispino</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Cifarelli</surname><given-names>P.</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Montella</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Panarese</surname><given-names>I.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Ronchi</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Russo</surname><given-names>R.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Tremiterra</surname><given-names>G.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Luise</surname><given-names>R.</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Sapere</surname><given-names>P.</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label>Division of Pathology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples, Italy</aff><aff id="Aff2"><label>2</label>Division of Urology, S. Maria del Popolo degli Incurabili Hospital ASL Na1, Naples, Italy</aff><aff id="Aff3"><label>3</label>Division of Pathology, School of Medicine, University Federico II, Naples, Italy</aff></contrib-group><pub-date pub-type="epub"><day>3</day><month>2</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>3</day><month>2</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>14</volume><elocation-id>29</elocation-id><history><date date-type="received"><day>5</day><month>6</month><year>2015</year></date><date date-type="accepted"><day>26</day><month>1</month><year>2016</year></date></history><permissions><copyright-statement>© Iannaci et al. 2016</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p id="Par1">Schwannoma and angiosarcoma are infrequent pathologies that have been rarely reported in the kidney. Angiosarcoma is an uncommon malignant tumor presenting a recognizable vascular differentiation. It can develop in any site but the most common locations include the skin, soft tissues, breast, bone, liver, and spleen while renal localization has been very rarely reported in the literature. Schwannoma is a benign peripheral nerve sheath tumor composed of cells with the immunophenotype and ultrastructural features of differentiated Schwann cells. It has a wide anatomical distribution but the most frequent locations include subcutaneous tissues of the extremities and the head and neck region and the retroperitoneal and mediastinal soft tissues. The occurrence of an angiosarcoma in a pre-existing schwannoma is an extremely rare event with <20 cases reported in worldwide literature. In the present study, a renal case of angiosarcoma arising in schwannoma is presented with a detailed review of the pertinent literature.</p></sec><sec><title>Case Presentation</title><p id="Par222">A 56-year-old man was admitted with a few days history of lower back pain and hematuria. Abdominal ultrasound showed a mass inside the left renal medulla. Subsequent imaging investigations with computed tomography and magnetic resonance confirmed the presence of the lesion and showed a pulmonary metastasis.</p></sec><sec><title>Conclusions</title><p>The final histopathological examination led to the diagnosis of epithelioid angiosarcoma arising in a schwannoma. The patient came to death a few months later due to a massive hemothorax. To the best of our knowledge, the present is the first case of an angiosarcoma arising in a schwannoma of the kidney.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Kidney angiosarcoma</kwd><kwd>Epithelioid angiosarcoma</kwd><kwd>Kidney schwannoma</kwd><kwd>Angiosarcoma arising in schwannoma</kwd><kwd>Literature review</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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