Solitary Fibrous Tumor of the Kidney Developing Local Recurrence

Solitary fibrous tumor (SFT) of the kidney is a rare entity and usually displays a favorable prognosis. We herein report a second case of renal SFT developing local recurrence. A 50-year-old man was referred to our hospital because of a left renal mass. An abdominal CT detected a large renal tumor a...

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Main Authors: Wataru Usuba, Hideo Sasaki, Hidekazu Yoshie, Kazuki Kitajima, Hiroya Kudo, Ryuto Nakazawa, Yuichi Sato, Masayuki Takagi, Tatsuya Chikaraishi
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2016/2426874
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author Wataru Usuba
Hideo Sasaki
Hidekazu Yoshie
Kazuki Kitajima
Hiroya Kudo
Ryuto Nakazawa
Yuichi Sato
Masayuki Takagi
Tatsuya Chikaraishi
author_facet Wataru Usuba
Hideo Sasaki
Hidekazu Yoshie
Kazuki Kitajima
Hiroya Kudo
Ryuto Nakazawa
Yuichi Sato
Masayuki Takagi
Tatsuya Chikaraishi
author_sort Wataru Usuba
collection DOAJ
description Solitary fibrous tumor (SFT) of the kidney is a rare entity and usually displays a favorable prognosis. We herein report a second case of renal SFT developing local recurrence. A 50-year-old man was referred to our hospital because of a left renal mass. An abdominal CT detected a large renal tumor and radical nephrectomy was performed with a possible diagnosis of renal cell carcinoma. The resected tumor size was measured at 17 × 11 × 8 cm. Grossly, necrosis was observed in central lesion of the tumor but hemorrhage was not observed. Microscopically, the tumor consisted of spindle-shaped cells with scant cytoplasm accompanied by hyalinized collagenous tissue, which displayed hemangiopericytomatous patterns. The cellularity was normal and nuclear pleomorphism was not observed. Ki-67 labeling index was less than 3%. The pathological diagnosis of SFT was made without obvious malignant findings. Three years after the surgery, a follow-up CT scan detected a mass lesion in the tumor bed. Surgical resection was performed and the resected tumor was compatible with local recurrence of the SFT without obvious malignant findings. Renal SFT should be carefully monitored even in the absence of obvious malignant findings.
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series Case Reports in Urology
spelling doaj-art-b6488556f29c40ef8e5ff968c671ad742025-02-03T01:00:52ZengWileyCase Reports in Urology2090-696X2090-69782016-01-01201610.1155/2016/24268742426874Solitary Fibrous Tumor of the Kidney Developing Local RecurrenceWataru Usuba0Hideo Sasaki1Hidekazu Yoshie2Kazuki Kitajima3Hiroya Kudo4Ryuto Nakazawa5Yuichi Sato6Masayuki Takagi7Tatsuya Chikaraishi8Department of Urology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanDepartment of Urology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanDepartment of Urology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanDepartment of Urology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanDepartment of Urology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanDepartment of Urology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanDepartment of Urology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanDepartment of Pathology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanDepartment of Urology, St. Marianna University, 2-16-1 Sugao, Miyamae, Kawasaki 216-8511, JapanSolitary fibrous tumor (SFT) of the kidney is a rare entity and usually displays a favorable prognosis. We herein report a second case of renal SFT developing local recurrence. A 50-year-old man was referred to our hospital because of a left renal mass. An abdominal CT detected a large renal tumor and radical nephrectomy was performed with a possible diagnosis of renal cell carcinoma. The resected tumor size was measured at 17 × 11 × 8 cm. Grossly, necrosis was observed in central lesion of the tumor but hemorrhage was not observed. Microscopically, the tumor consisted of spindle-shaped cells with scant cytoplasm accompanied by hyalinized collagenous tissue, which displayed hemangiopericytomatous patterns. The cellularity was normal and nuclear pleomorphism was not observed. Ki-67 labeling index was less than 3%. The pathological diagnosis of SFT was made without obvious malignant findings. Three years after the surgery, a follow-up CT scan detected a mass lesion in the tumor bed. Surgical resection was performed and the resected tumor was compatible with local recurrence of the SFT without obvious malignant findings. Renal SFT should be carefully monitored even in the absence of obvious malignant findings.http://dx.doi.org/10.1155/2016/2426874
spellingShingle Wataru Usuba
Hideo Sasaki
Hidekazu Yoshie
Kazuki Kitajima
Hiroya Kudo
Ryuto Nakazawa
Yuichi Sato
Masayuki Takagi
Tatsuya Chikaraishi
Solitary Fibrous Tumor of the Kidney Developing Local Recurrence
Case Reports in Urology
title Solitary Fibrous Tumor of the Kidney Developing Local Recurrence
title_full Solitary Fibrous Tumor of the Kidney Developing Local Recurrence
title_fullStr Solitary Fibrous Tumor of the Kidney Developing Local Recurrence
title_full_unstemmed Solitary Fibrous Tumor of the Kidney Developing Local Recurrence
title_short Solitary Fibrous Tumor of the Kidney Developing Local Recurrence
title_sort solitary fibrous tumor of the kidney developing local recurrence
url http://dx.doi.org/10.1155/2016/2426874
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