ABSTRACT
OBJECTIVES: To report a new case of asymptomatic capsular leiomyoma. METHODS: 68-year-old male asymptomatic patient who was diagnosed of solid mass after a radiological study (ultrasound and CT scan). RESULTS: The treatment of this neoplasia was radical nephrectomy, with an uneventful postoperative course and a pathology report of renal leiomyoma. CONCLUSIONS: Renal leiomyoma is a rare benign mesenchymal tumor that should be taken into consideration for the differential diagnosis of renal masses, because it would be an indication for nephron-sparing surgery; nevertheless, due to the difficulties to differentiate it from renal cell carcinoma it is not rare that the diagnosis is achieved after histological study of the nephrectomy specimen.
Subject(s)
Kidney Neoplasms , Leiomyoma , Aged , Humans , Kidney Neoplasms/diagnosis , Kidney Neoplasms/surgery , Leiomyoma/diagnosis , Leiomyoma/surgery , MaleABSTRACT
OBJETIVO: Aportar un nuevo caso de leiomiomacapsular asintomático.MÉTODO: Paciente de 68 años asintomático que tras estudioradiológico (ECO y TAC ) es diagnosticada de masa sólida.RESULTADO: El tratamiento de este proceso neoformativo renal , fue nefrectomía radical, con curso postoperatorio sin incidencias y anatomía patológica, leiomioma renal.CONCLUSIÓN: El leiomioma renal es un tumor mesenquimatosobenigno poco frecuente que debe tenerse en cuenta ante el diagnóstico de masa renal , dado que sería subsidiario de una cirugía renal conservadora, no obstante ante la dificultad para diferenciarlo del carcinoma renal, no es infrecuente que el diagnóstico se produzca tras el análisis histológico de la pieza de nefrectomía
OBJECTIVES: To report a new case of asymptomatic capsular leiomyoma.METHODS: 68-year-old male asymptomatic patient who was diagnosed of solid mass after a radiological study (ultrasound and CT scan).RESULTS: The treatment of this neoplasia was radicalnephrectomy, with an uneventful postoperative course and a pathology report of renal leiomyoma.CONCLUSIONS: Renal leiomyoma is a rare benignmesenchymal tumor that should be taken into consideration for the differential diagnosis of renal masses, because it would be an indication for nephron-sparing surgery; nevertheless,due to the difficulties to differentiate it from renal cell carcinoma it is not rare that the diagnosis is achieved after histological study of the nephrectomy specimen
