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Benign medullary fibroma of the kidney: a rare diagnostic dilemma.

Kumar S, Choudhary GR, Nanjappa B, Bal A - J Clin Imaging Sci (2013)

Bottom Line: Renomedullary interstitial cell tumor or medullary fibroma, is a small tumor that commonly presents as an incidental finding, but in rare cases maybe large and symptomatic.Although it is a benign tumor, it is difficult to differentiate this lesion from other malignancies of the kidney on radiological basis and hence many patients undergo radical nephrectomy.We present a case of renal medullary fibroma and various nuances associated with radiological identification of this lesion and its management related dilemmas.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

ABSTRACT
Renomedullary interstitial cell tumor or medullary fibroma, is a small tumor that commonly presents as an incidental finding, but in rare cases maybe large and symptomatic. Although it is a benign tumor, it is difficult to differentiate this lesion from other malignancies of the kidney on radiological basis and hence many patients undergo radical nephrectomy. We present a case of renal medullary fibroma and various nuances associated with radiological identification of this lesion and its management related dilemmas.

No MeSH data available.


Related in: MedlinePlus

32-year-old male with left flank pain and gross hematuria diagnosed with renal medullary fibroma. Unenhanced computed tomography scan of the abdomen reveals a calcified, partially exophytic soft-tissue mass (arrow) involving the mid and interpolar regions of the right kidney.
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Figure 1: 32-year-old male with left flank pain and gross hematuria diagnosed with renal medullary fibroma. Unenhanced computed tomography scan of the abdomen reveals a calcified, partially exophytic soft-tissue mass (arrow) involving the mid and interpolar regions of the right kidney.

Mentions: Computed tomography (CT) scan of the abdomen revealed a calcified, partially exophytic soft-tissue mass involving the mid and interpolar regions of the right kidney [Figure 1]. Contrast enhanced CT revealed doubtful enhancement with perirenal mild inflammatory stranding [Figure 2]. There were no calculi either in the kidney or the ureter. There was no evidence of renal vein or venacaval extension and no obvious lymphadenopathy. The contra-lateral kidney was normal. Right renal cell carcinoma (RCC) was suspected and patient underwent laparoscopic right radical nephrectomy.


Benign medullary fibroma of the kidney: a rare diagnostic dilemma.

Kumar S, Choudhary GR, Nanjappa B, Bal A - J Clin Imaging Sci (2013)

32-year-old male with left flank pain and gross hematuria diagnosed with renal medullary fibroma. Unenhanced computed tomography scan of the abdomen reveals a calcified, partially exophytic soft-tissue mass (arrow) involving the mid and interpolar regions of the right kidney.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3823390&req=5

Figure 1: 32-year-old male with left flank pain and gross hematuria diagnosed with renal medullary fibroma. Unenhanced computed tomography scan of the abdomen reveals a calcified, partially exophytic soft-tissue mass (arrow) involving the mid and interpolar regions of the right kidney.
Mentions: Computed tomography (CT) scan of the abdomen revealed a calcified, partially exophytic soft-tissue mass involving the mid and interpolar regions of the right kidney [Figure 1]. Contrast enhanced CT revealed doubtful enhancement with perirenal mild inflammatory stranding [Figure 2]. There were no calculi either in the kidney or the ureter. There was no evidence of renal vein or venacaval extension and no obvious lymphadenopathy. The contra-lateral kidney was normal. Right renal cell carcinoma (RCC) was suspected and patient underwent laparoscopic right radical nephrectomy.

Bottom Line: Renomedullary interstitial cell tumor or medullary fibroma, is a small tumor that commonly presents as an incidental finding, but in rare cases maybe large and symptomatic.Although it is a benign tumor, it is difficult to differentiate this lesion from other malignancies of the kidney on radiological basis and hence many patients undergo radical nephrectomy.We present a case of renal medullary fibroma and various nuances associated with radiological identification of this lesion and its management related dilemmas.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

ABSTRACT
Renomedullary interstitial cell tumor or medullary fibroma, is a small tumor that commonly presents as an incidental finding, but in rare cases maybe large and symptomatic. Although it is a benign tumor, it is difficult to differentiate this lesion from other malignancies of the kidney on radiological basis and hence many patients undergo radical nephrectomy. We present a case of renal medullary fibroma and various nuances associated with radiological identification of this lesion and its management related dilemmas.

No MeSH data available.


Related in: MedlinePlus