Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Unusual Malignant Solid Neoplasms of the Kidney: Cross-Sectional Imaging Findings

  • Karaosmanoglu, Ali Devrim (Department of Radiology, Massachusetts General Hospital, Harvard Medical School) ;
  • Onur, Mehmet Ruhi (Department of Radiology, University of Hacettepe School of Medicine) ;
  • Shirkhoda, Ali (Department of Radiology, University of California School of Medicine) ;
  • Ozmen, Mustafa (Department of Radiology, University of Hacettepe, Faculty of Medicine) ;
  • Hahn, Peter F. (Department of Radiology, Massachusetts General Hospital, Harvard Medical School)
  • Received : 2015.01.15
  • Accepted : 2015.05.04
  • Published : 2015.08.01
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Abstract

Malignant kidney neoplasms are the most frequently encountered solid kidney masses. Although renal cell carcinoma is the major renal malignancy, other solid malignant renal masses should be considered in the differential diagnosis of solid renal masses that do not contain a macroscopic fatty component. In this pictorial essay, we present the imaging findings of a primitive neuroectodermal tumor, primary liposarcoma of the kidney, primary neuroendocrine tumor, leiomyosarcoma, synovial sarcoma, malignant fibrous histiocytoma, sclerosing fibrosarcoma and renal metastasis of osteosarcoma.

Keywords

References

  1. Lee H, Cho JY, Kim SH, Jung DC, Kim JK, Choi HJ. Imaging findings of primitive neuroectodermal tumors of the kidney. J Comput Assist Tomogr 2009;33:882-886 https://doi.org/10.1097/RCT.0b013e31819e938b
  2. Pickhardt PJ, Lonergan GJ, Davis CJ Jr, Kashitani N, Wagner BJ. From the archives of the AFIP. Infiltrative renal lesions: radiologic-pathologic correlation. Armed Forces Institute of Pathology. Radiographics 2000;20:215-243 https://doi.org/10.1148/radiographics.20.1.g00ja08215
  3. Chinnaa S, Das CJ, Sharma S, Singh P, Seth A, Purkait S, et al. Peripheral primitive neuroectodermal tumor of the kidney presenting with pulmonary tumor embolism: a case report. World J Radiol 2014;6:846-849 https://doi.org/10.4329/wjr.v6.i10.846
  4. Dotan ZA, Tal R, Golijanin D, Snyder ME, Antonescu C, Brennan MF, et al. Adult genitourinary sarcoma: the 25-year Memorial Sloan-Kettering experience. J Urol 2006;176:2033-2038; discussion 2038-2039 https://doi.org/10.1016/j.juro.2006.07.021
  5. Novick AC, Campbell SC. Renal tumors. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ, editors. Campbell's urology, 8th ed. Philadelphia: Saunders, 2002:2673-2731
  6. Ciccarello G, Mucciardi G, Morgia G, Spinelli F, Ascenti G, Macchione L, et al. A case of renal capsular liposarcoma with intracaval fat thrombus. Eur Urol 2010;57:350-353 https://doi.org/10.1016/j.eururo.2009.07.021
  7. Dalal KM, Antonescu CR, Singer S. Diagnosis and management of lipomatous tumors. J Surg Oncol 2008;97:298-313 https://doi.org/10.1002/jso.20975
  8. Zuetenhorst JM, Taal BG. Metastatic carcinoid tumors: a clinical review. Oncologist 2005;10:123-131 https://doi.org/10.1634/theoncologist.10-2-123
  9. Osamura RY, Inomoto C, Kajiwara H, DeLellis RA. Neuroendocrine carcinomas of diverse sites. Pathol Case Rev 2006;11:282-291 https://doi.org/10.1097/01.pcr.0000251136.88078.43
  10. Romero FR, Rais-Bahrami S, Permpongkosol S, Fine SW, Kohanim S, Jarrett TW. Primary carcinoid tumors of the kidney. J Urol 2006;176(6 Pt 1):2359-2366 https://doi.org/10.1016/j.juro.2006.07.129
  11. Kawajiri H, Onoda N, Ohira M, Nakatani T, Wakasa K, Ishikawa T, et al. Carcinoid tumor of the kidney presenting as a large abdominal mass: report of a case. Surg Today 2004;34:86-89 https://doi.org/10.1007/s00595-003-2644-x
  12. Kendal WS. The comparative survival of renal leiomyosarcoma. Can J Urol 2007;14:3435-3442
  13. Katabathina VS, Vikram R, Nagar AM, Tamboli P, Menias CO, Prasad SR. Mesenchymal neoplasms of the kidney in adults: imaging spectrum with radiologic-pathologic correlation. Radiographics 2010;30:1525-1540 https://doi.org/10.1148/rg.306105517
  14. Grasso M, Blanco S, Fortuna F, Crippa S, Di Bella C. Spontaneous rupture of renal leiomyosarcoma in a 45-year-old woman. Arch Esp Urol 2004;57:870-872
  15. Ochiai K, Onitsuka H, Honda H, Kawamoto K, Uozumi J, Kumazawa J, et al. Leiomyosarcoma of the kidney: CT and MR appearance. J Comput Assist Tomogr 1993;17:656-658 https://doi.org/10.1097/00004728-199307000-00027
  16. Lalwani N, Prasad SR, Vikram R, Katabathina V, Shanbhogue A, Restrepo C. Pediatric and adult primary sarcomas of the kidney: a cross-sectional imaging review. Acta Radiol 2011;52:448-457 https://doi.org/10.1258/ar.2011.100376
  17. Zakhary MM, Elsayes KM, Platt JF, Francis IR. Magnetic resonance imaging features of renal synovial sarcoma: a case report. Cancer Imaging 2008;8:45-47 https://doi.org/10.1102/1470-7330.2008.0005
  18. Gong J, Kang W, Li S, Yang Z, Xu J. CT findings of synovial sarcomas of the kidney with pathological correlation. Clin Imaging 2013;37:1033-1036 https://doi.org/10.1016/j.clinimag.2013.08.009
  19. Murphey MD, Gibson MS, Jennings BT, Crespo-Rodriguez AM, Fanburg-Smith J, Gajewski DA. From the archives of the AFIP: imaging of synovial sarcoma with radiologic-pathologic correlation. Radiographics 2006;26:1543-1565 https://doi.org/10.1148/rg.265065084
  20. Froehner M, Manseck A, Haase M, Hakenberg OW, Wirth MP. Locally recurrent malignant fibrous histiocytoma: a rare and aggressive genitourinary malignancy. Urol Int 1999;62:164-170 https://doi.org/10.1159/000030383
  21. Shirkhoda A, Lewis E. Renal sarcoma and sarcomatoid renal cell carcinoma: CT and angiographic features. Radiology 1987;162:353-357 https://doi.org/10.1148/radiology.162.2.3797647
  22. Eroglu M, Bakirtas H, Cimentepe E, Unsal A, Ataoglu O, Balbay MD. Malignant fibrous histiocytoma arising from the renal capsule. Urol Int 2005;75:368-370 https://doi.org/10.1159/000089177
  23. Kearney MM, Soule EH, Ivins JC. Malignant fibrous histiocytoma: a retrospective study of 167 cases. Cancer 1980;45:167-178 https://doi.org/10.1002/1097-0142(19800101)45:1<167::AID-CNCR2820450127>3.0.CO;2-8
  24. Kitajima K, Kaji Y, Morita M, Okuda Y, Sugimura K. Malignant fibrous histiocytoma arising from the renal capsule. Magn Reson Med Sci 2003;2:199-202 https://doi.org/10.2463/mrms.2.199
  25. Venter A, Rosca E, Mutiu G, Daina L, Pirte A. Difficulties of diagnosis in retroperitoneal tumors. Rom J Morphol Embryol 2013;54:451-456
  26. Sanyal R, Remer EM. Radiology of the retroperitoneum: case-based review. AJR Am J Roentgenol 2009;192(6 Suppl):S112-S117, Quiz S118-S121 https://doi.org/10.2214/AJR.07.7064
  27. Chaudhari S, Hatwal D, Suri V. A rare case of primary fibrosarcoma of kidney. Iran J Kidney Dis 2013;7:67-69
  28. Funston MR, Levine E, Stables DP. Spontaneous renal hemorrhage. Urology 1976;8:610-617 https://doi.org/10.1016/0090-4295(76)90534-3
  29. Raby WN, Kopplin P, Weitzman S. Metastatic osteosarcoma of the kidney presenting as renal hemorrhage. J Pediatr Hematol Oncol 1996;18:321-322 https://doi.org/10.1097/00043426-199608000-00020
  30. Jeffree GM, Price CH, Sissons HA. The metastatic patterns of osteosarcoma. Br J Cancer 1975;32:87-107 https://doi.org/10.1038/bjc.1975.136
  31. Caoili EM, Davenport MS. Role of percutaneous needle biopsy for renal masses. Semin Intervent Radiol 2014;31:20-26 https://doi.org/10.1055/s-0033-1363839
  32. Lee SW, Lee MH, Yang HJ, Yang WJ, Kim DS, Lee NK, et al. Experience of ultrasonography-guided percutaneous core biopsy for renal masses. Korean J Urol 2013;54:660-665 https://doi.org/10.4111/kju.2013.54.10.660
  33. Volpe A, Mattar K, Finelli A, Kachura JR, Evans AJ, Geddie WR, et al. Contemporary results of percutaneous biopsy of 100 small renal masses: a single center experience. J Urol 2008;180:2333-2337 https://doi.org/10.1016/j.juro.2008.08.014

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