Primary Renal Angiosarcoma with Extensive Necrosis: A Difficult Diagnosis
Identifieur interne : 003D11 ( Pmc/Curation ); précédent : 003D10; suivant : 003D12Primary Renal Angiosarcoma with Extensive Necrosis: A Difficult Diagnosis
Auteurs : Sohail Qayyum [États-Unis] ; Jignesh G. Parikh [États-Unis] ; Nadeem Zafar [États-Unis]Source :
- Case Reports in Pathology [ 2090-6781 ] ; 2014.
Abstract
Angiosarcoma of the kidney is an exceedingly rare and aggressive neoplasm. Very few cases have been reported in the English literature to date. We report a case of primary renal angiosarcoma with extensive necrosis and discuss its diagnostic difficulties. An 86-year-old male presented with a 12 cm necrotic renal mass and multiple pulmonary and hepatic nodules. A CT guided renal biopsy revealed extensive necrosis and few vascular channels lined by malignant endothelial cells. Diagnosis was given on a morphologic base and proven by an immunohistochemical study. Primary renal angiosarcoma should be included among the differential diagnosis of necrotic renal lesions.
Url:
DOI: 10.1155/2014/416170
PubMed: 25133004
PubMed Central: 4123473
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<front><div type="abstract" xml:lang="en"><p>Angiosarcoma of the kidney is an exceedingly rare and aggressive neoplasm. Very few cases have been reported in the English literature to date. We report a case of primary renal angiosarcoma with extensive necrosis and discuss its diagnostic difficulties. An 86-year-old male presented with a 12 cm necrotic renal mass and multiple pulmonary and hepatic nodules. A CT guided renal biopsy revealed extensive necrosis and few vascular channels lined by malignant endothelial cells. Diagnosis was given on a morphologic base and proven by an immunohistochemical study. Primary renal angiosarcoma should be included among the differential diagnosis of necrotic renal lesions.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Pathol</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Pathol</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>Primary Renal Angiosarcoma with Extensive Necrosis: A Difficult Diagnosis</article-title>
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<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-9944-0679</contrib-id>
<name><surname>Qayyum</surname>
<given-names>Sohail</given-names>
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<contrib contrib-type="author"><name><surname>Parikh</surname>
<given-names>Jignesh G.</given-names>
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<contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-2106-7063</contrib-id>
<name><surname>Zafar</surname>
<given-names>Nadeem</given-names>
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<xref ref-type="corresp" rid="cor1">*</xref>
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<aff id="I1">Department of Pathology, University of Tennessee Health Science Center, Memphis, TN 38163, USA</aff>
<author-notes><corresp id="cor1">*Nadeem Zafar: <email>nzafar@uthsc.edu</email>
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<fn fn-type="other"><p>Academic Editor: Katsuyuki Aozasa</p>
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<pub-date pub-type="ppub"><year>2014</year>
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<pub-date pub-type="epub"><day>15</day>
<month>7</month>
<year>2014</year>
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<volume>2014</volume>
<elocation-id>416170</elocation-id>
<history><date date-type="received"><day>23</day>
<month>4</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>22</day>
<month>6</month>
<year>2014</year>
</date>
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<permissions><copyright-statement>Copyright © 2014 Sohail Qayyum et al.</copyright-statement>
<copyright-year>2014</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
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<abstract><p>Angiosarcoma of the kidney is an exceedingly rare and aggressive neoplasm. Very few cases have been reported in the English literature to date. We report a case of primary renal angiosarcoma with extensive necrosis and discuss its diagnostic difficulties. An 86-year-old male presented with a 12 cm necrotic renal mass and multiple pulmonary and hepatic nodules. A CT guided renal biopsy revealed extensive necrosis and few vascular channels lined by malignant endothelial cells. Diagnosis was given on a morphologic base and proven by an immunohistochemical study. Primary renal angiosarcoma should be included among the differential diagnosis of necrotic renal lesions.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<graphic xlink:href="CRIPA2014-416170.001"></graphic>
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<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>Microphotographs of a renal biopsy. (a) Scant tissue fragments with extensive necrosis (HE, ×40). (b) Scant tissue fragments with extensive necrosis (HE, ×100). (c) Multiple vascular channels lined by pleomorphic endothelial cells and increased mitotic figures (arrows) (HE, ×400). (d) Strong immunoreactivity for an endothelial marker CD34 (IHC, ×400).</p>
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<graphic xlink:href="CRIPA2014-416170.002"></graphic>
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