A case report of unusual presentation of a rare renal tumor

Farzaneh Sharifiaghdas, MD; Behzad Narouie, MD; Mohammad Ghasemi-Rad, MD; Fatemeh Moosavian, MD; Mohadese Ahmadzade, MD; Hamidreza Rouientan, MD

Radiology Case Reports (Jun 2023)

A case report of unusual presentation of a rare renal tumor

Farzaneh Sharifiaghdas, MD,
Behzad Narouie, MD,
Mohammad Ghasemi-Rad, MD,
Fatemeh Moosavian, MD,
Mohadese Ahmadzade, MD,
Hamidreza Rouientan, MD

Affiliations

Farzaneh Sharifiaghdas, MD: Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Behzad Narouie, MD: Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran; Corresponding author at: Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tel.: +989391837853.
Mohammad Ghasemi-Rad, MD: Department of Interventional Radiology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, USA
Fatemeh Moosavian, MD: Department of Radiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohadese Ahmadzade, MD: Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Hamidreza Rouientan, MD: Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Journal volume & issue: Vol. 18, no. 6
pp. 2209 – 2211

Abstract

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There are very few cases of primary renal Ewing sarcomas, which are characterized by a high rate of metastasis. These tumors are often mistaken for other more common kidney tumors due to their rarity and lack of pathognomonic symptoms in the early stages. A 28-year-old male patient presented to our clinic with a 2-month history of nonproductive progressive cough and left flank pain. The chest was scanned with contrast-enhanced computed tomography, which showed a heterogeneously enhancing mass with central vascularity on the left retroperitoneal. An abdominal dynamic multiphasic magnetic resonance imaging with contrast revealed a large mass that was highly suggestive of neoplastic pathology and multiple metastatic nodules. The pathology report indicated a renal Ewing sarcoma as the result of a core needle biopsy. In order to initiate chemotherapy promptly, early detection is crucial, and radiology plays an important role in diagnosing.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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Abstract

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