Onur KÜÇÜKTOPÇU, Ali SEZER, Fatih AKBULUT, Faruk ÖZGÖR, Abdülmüttalip ŞİMŞEK, Burak ARSLAN, Ömer SARILAR, Şaban MİMAROĞLU, Zafer GÖKHAN GÜRBÜZ

Renal leiyomyosarkom: Multipl tümör hikayesi olan hastada preoperatif biyopsi ile doğru tanı

Böbrek sarkomları oldukça nadir görülmekle beraber bunların büyük kısmını kötü prognozlu leiyomyosarkomlar oluşturur. Görüntülemelerde heterojen ve az kontrastlanmasıyla klasik böbrek hücreli kanserden BHK ayırt edilebilen bu patolojide tam rezeksiyon sonrası genelde ek tedaviye gerek kalmamaktadır. Klasik BHK’den preoperatif biyopsi ile ayrımı yapılabilmektedir. Bu vaka sunumumuzda önceden mandibulada kondrosarkom ve meme duktal karsinomu hikâyeleri olan ve börekte leiyomoysarkom saptanan kadın hastayı sunmayı amaçladık

Anahtar Kelimeler:

böbrek tümörü, leiyomyosarkom, preoperatif biyosi

Renal leiomyosarcoma: Correct diagnosis by preoperative renal biopsy of a patient who has previous multipl tumor history

Sarcomatous lesions of kidney are rare and most frequent subtype is leiomyosarcoma. With preoperative diagnostic screenings it can be distinguished from classical renal cell cancer RCC by its low contrast enhancement. If completely resected, usually another treatment modality, such as radiotherapy and chemoterapy, is not needed. In this case report we aimed to present a renal leiomyosarcoma of a female patient who has previous history of mandibular chondrosarcoma and ductal carcinoma of breast.

Keywords:

kidney tumor, leiomyosarcoma, preoperative biopsy,

PDF

___

Srinivas V, Sogani PC, Hajdu SI, Whitmore WF. Sarcomas of the kidney.J Urol 1984;132:13-6.
Kendal WS, The comparative survival of renal leiomyosar- coma.Can J Urol 2007;14:3435-42.
Demir A, Yazici CM, Eren F, Türkeri L.Case report: good prognosis in leiomyosarcoma of the kidney. Int Urol Neph- rol 2007; 39:7-10.
Shashi D, Prem C,Sanjay DPrimary renal leiomyosarcoma: A diagnostic challenge, UrolAnn 2012;4: 48–50.
Sen N, Colakoglu N, Sinik Z. Renal leiomyosarkom olgu su- numu. Ege Tıp Dergisi 2003;42: 137-139.
Kartsanis G, Douros K, Zolota V, Perimenis P.Case re- port: leiomyosarcoma of the renal pelvis.Int Urol Nephrol 2006;38:211-3.
Ochiai K, Onitsuka H, Honda H, et al. Leiomyosarcoma of the kidney: CT and MR appearance.J Comput Assist To- mogr 1993;17:656-8.
Bhat G, Nelivigi G,Shivalingaiah M, Ratkal CS.Primary renal leiomyosarcoma: Case report and literature revie- wAfrican Journal of Urology 2011; 17: 15-17.
Dubey A, Koul R.A Rare Case Of Renal Sarcoma With The Review Of Literature. The Internet Journal of Nephrology 2009;6 - 1.