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Case Reports
. 2025 Jul 1;18(7):e266171.
doi: 10.1136/bcr-2025-266171.

Primary renal leiomyosarcoma

Affiliations
Case Reports

Primary renal leiomyosarcoma

Samikshya Thapa et al. BMJ Case Rep. .

Abstract

Smooth muscle cells in the renal parenchyma or renal pelvis give rise to the incredibly uncommon and aggressive kidney cancer known as leiomyosarcoma. Because it is uncommon and has nonspecific clinical features, it can be challenging to diagnose, making up less than 1% of all kidney tumours. Adults frequently exhibit it, with a slight preference for females in some instances that have been reported. A male in his early 60s with a history of abdominal pain for the previous 2 months is presented here with a case of leiomyosarcoma of the kidney. While adjuvant medications like chemotherapy and radiation therapy have little effect, surgical resection with clear margins remains the main treatment option. There is a considerable chance of recurrence, so long-term monitoring is necessary.

Keywords: Cancer; Pathology; Renal system; Urological cancer.

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Conflict of interest statement

Competing interests: None declared.

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