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Case Reports
. 2018 Jul 30:2018:bcr2017222672.
doi: 10.1136/bcr-2017-222672.

Primary renal angiosarcoma

Eric Gourley  1 , Gilda Digman  2 , Marlo Nicolas  3 , Dharam Kaushik  2
Affiliations
Case Reports

Primary renal angiosarcoma

Eric Gourley et al. BMJ Case Rep. .

Abstract

An older male patient with a history of tachycardia treated with atenolol presented to an outside hospital on 22 February 2017 with acute right flank pain. He had a CT scan which revealed a large right renal mass with acute haemorrhage. He was initially managed with interventional radiology guided embolism on 25 February 2017 due to the ongoing bleeding and haemodynamic instability. He was then transferred to our institution. He underwent right radical nephrectomy on 13 March 2017. His pathology revealed a 12.5×6×4.5 cm mass consistent with angiosarcoma of the right kidney with negative margins. Final pathology was pT2b with extension of the mass into the renal vein and perirenal adipose tissue. He was discharged soon after surgery. He was recommended to undergo adjuvant chemotherapy.

Keywords: surgical oncology; urological cancer; urological surgery; vascular surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Top image: axial view of the right renal mass. Middle image: coronal view of the right renal mass. Bottom image: sagittal view of the right renal mass showing retroperitoneal haematoma.
Figure 2
Figure 2
Gross pathology of right kidney and mass.
Figure 3
Figure 3
The tumour is composed of pleomorphic spindle cells with vasoformative growth pattern.
See this image and copyright information in PMC

References

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