RENAL ONCOCYTOMA MANAGEMENT IN ADVANCE RENAL FAILURE. A CASE BASED REVIEW

Keywords: Сhronic kidney disease, oncocytoma, renal transplant

Abstract

The presentation of a renal mass presumes a malignancy unless proven otherwise by histologic evaluation. We present a case of 40-year-old man with advance uremia necessitating renal replacement. Radiologic images showed a right renal mass and the patient underwent a nephrectomy. The pathologic diagnosis was a benign renal neoplasm, oncocytoma. This neoplasm is not a cause of renal failure but may be associated with other malignant lesions. Focal segmental glomerulosclerosis was the reason for renal failure. Lesion was discovered incidentally during the workup of chronic kidney disease. Histopathology delineated two separate pathologies designing the management plan. After few months of hemodialysis patient could receive renal transplant, a therapy of choice as oncocytoma is a benign condition which doesn’t preclude transplantation.

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References

Agarwal R, Brunelli SM, Williams K, et al. Gadolinium-based contrast agents and nephrogenic systemic fibrosis: a systematic review and meta-analysis. Nephrol Dial Transplant 2009; 24:856. https://doi.org/10.1093/ndt/gfn593

Miller BL, Mankowski Gettle L, Van Roo JR, et al. Comparative Analysis of Surgery, Thermal Ablation, and Active Surveillance for Renal Oncocytic Neoplasms. Urology 2018; 112:92. https://doi.org/10.1016/j.urology.2017.09.016

Dechet CB, Bostwick DG, Blute ML, et al. Renal oncocytoma: multifocality, bilateralism, metachronous tumor development and coexistent renal cell carcinoma. J Urol 1999; 162:40. https://doi.org/10.1097/00005392-199907000-00010

Kuroda N, Toi M, Hiroi M, et al. Review of renal oncocytoma with focus on clinical and pathobiological aspects. Histol Histopathol 2003; 18:935.

Jimenez RE, Eble JN, Reuter VE, et al. Concurrent angiomyolipoma and renal cell neoplasia: a study of 36 cases. Mod Pathol 2001; 14:157. https://doi.org/10.1038/modpathol.3880275

Elsamaloty H, Abdullah A, Elzawawi M. Multiple bilateral renal oncocytoms in a known case of tuberous sclerosis: a case report. Abdom Imaging 2010; 35:115. https://doi.org/10.1007/s00261-008-9486-3

Perez-Ordonez B, Hamed G, Campbell S, et al. Renal oncocytoma: a clinicopathologic study of 70 cases. Am J Surg Pathol 1997; 21:871. https://doi.org/10.1097/00000478-199708000-00001

Lieber MM. Renal oncocytoma: prognosis and treatment. Eur Urol 1990; 18 Suppl 2:17. https://doi.org/10.1159/000463952

Chao DH, Zisman A, Pantuck AJ, et al. Changing concepts in the management of renal oncocytoma. Urology 2002; 59:635. https://doi.org/10.1016/S0090-4295(01)01630-2

Tickoo SK, Reuter VE, Amin MB, et al. Renal oncocytosis: a morphologic study of fourteen cases. Am J Surg Pathol 1999; 23:1094. https://doi.org/10.1097/00000478-199909000-00013

Adamy A, Lowrance WT, Yee DS, et al. Renal oncocytosis: management and clinical outcomes. J Urol 2011; 185:795 https://doi.org/10.1016/j.juro.2010.10.068


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Published
2020-04-14
How to Cite
1.
Mahmood A, Lawati A. RENAL ONCOCYTOMA MANAGEMENT IN ADVANCE RENAL FAILURE. A CASE BASED REVIEW. Proc Shevchenko Sci Soc Med Sci [Internet]. 2020Apr.14 [cited 2020Aug.15];59(1). Available from: https://mspsss.org.ua/index.php/journal/article/view/262