Renal Leiomyosarcoma
- PMID: 32491531
- Bookshelf ID: NBK557599
Renal Leiomyosarcoma
Excerpt
Renal leiomyosarcoma (LMS) is a rare and aggressive mesenchymal tumor that usually arises from the smooth muscle cells of the intrarenal blood vessels or the renal pelvis. Primary leiomyosarcomas are rare in the kidney and represent 1%-2% of all malignant renal tumors. The mean age at presentation is 50–60 years with a female preponderance.There is a high tendency of local recurrence, hence complete surgical excision is recommended. Renal LMS frequently metastasizes to distant body organs via hematogenous spread and carries an overall poor prognosis. The diagnosis of primary renal leiomyosarcoma should be made with caution. Since the prognosis for a renal sarcoma is particularly poor, differentiation from sarcomatoid renal cell carcinoma is necessary.
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