Korean J Urol. 2007 Jul;48(7):748-750. Korean.
Published online Jul 31, 2007.
Copyright © 2007 The Korean Urological Association
Case Report

Solitary Fibrous Tumor of the Renal Peripelvis

Jung Hwan Lee, Soo Hyung Lee, Jang Hee Kim,1 Sung Hoon Park, Jong Tak Park, Sun Il Kim and Se Joong Kim
    • Department of Urology, Ajou University School of Medicine, Suwon, Korea.
    • 1Department of Pathology, Ajou University School of Medicine, Suwon, Korea.
Received May 15, 2007; Accepted May 28, 2007.

Abstract

A solitary fibrous tumor (SFT) is a rare spindle cell neoplasm that arises most commonly in the pleura but has recently been described in various extrapleural sites. SFTs occurring in the renal pelvis or peripelvis are extremely rare, and only 3 cases have been reported. We report here on a 71-year-old woman who presented with an incidentally detected left renal mass and underwent radical nephroureterectomy under the suspicion of renal pelvis cancer. The pathological examination of the tumor revealed a SFT occurring in the renal peripelvis. The patient has no evidence of disease 1 year after the surgery. Most SFTs appear to pursue a benign course, although, because some of them have the potential to recur or metastasize, careful long-term follow-up is necessary.

Keywords
Kidney neoplasms; Renal pelvis; Immunohistochemistry; Solitary fibrous tumor

Figures

Fig. 1
Contrast-enhanced CT scan shows a 3×3cm sized, enhanced, well-demarcated mass in the left renal pelvis area.

Fig. 2
Left retrograde pyelogram demonstrates a mass extrinsically compressing infundibula between mid and lower calyx.

Fig. 3
Microscopically, the tumor is composed of spindle cells with patternless arrangement in a collagenous stroma (H&E, ×200).

Fig. 4
Tumor cells show diffuse immuno-positivity for CD34 (×200).

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