Rare benign kidney tumors. Review of clinical cases

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Abstract

Background. Quite rare benign kidney lesions include leiomyoma, hemangioma, lipoma, juxtaglomerular cell tumor. Since most benign lesions of the kidney do not manifest themselves, they are usually confirmed by chance during histological examination of the material after surgical treatment.

Description of the clinical cases. 3 patients with rare benign kidney tumors were operated at the City Clinical Hospital № 52 from 2022 to 2023. Two patients underwent laparoscopic resection of a kidney with a tumor, one patient - laparoscopic nephroureterectomy with resection of the bladder orifice. All patients underwent minimally invasive surgical treatment. There was no bleeding or death. According to histological and immunohistochemical examinations, rare benign kidney formations were revealed: mixed epithelial stromal tumors of the kidneys, kidney leiomyoma, anastomosing kidney hemangioma.

Conclusion. Reporting new cases of rare subtypes of benign kidney lesions has important clinical and scientific value in order to develop optimal approaches to the diagnosis and treatment of both benign and malignant kidney tumors.

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About the authors

Ruslan N. Trushkin

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Author for correspondence.
Email: uro52@mail.ru
ORCID iD: 0000-0002-3108-0539

Dr.Sci. (Med.), Head of the Department of Urology, City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

Teimur K. Isaev

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Email: dr.isaev@mail.ru
ORCID iD: 0000-0003-3462-8616

Cand. Sci. (Med.), Urologist at the Department of Urology, City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

Pavel E. Medvedev

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Email: pah95@mail.ru
ORCID iD: 0000-0003-4250-0815

Urologist at the Department of Urology, City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

Sergey A. Sokolov

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Email: sergey.sokolow@mail.ru
ORCID iD: 0009-0004-7016-2360

Urologist at the Department of Urology, City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

Vasily V. Parshin

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Email: vasilii_parshin@mail.ru
ORCID iD: 0000-0003-3783-3412

Head of the Radiology Department, City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

Oksana V. Manchenko

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Email: o.manchenko@ya.ru
ORCID iD: 0000-0002-6369-1801

Cand. Sci. (Med.), Doctor at the Radiology Department, City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

Valery V. Varyasin

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Email: pao52@mail.ru
ORCID iD: 0000-0003-1136-6203

Cand. Sci. (Med.), Head of the Pathological Anatomical Department, City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

Elvira E. Berezhnaya

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Email: dr.berezhnaia@gmail.com
ORCID iD: 0000-0003-1407-0408

Doctor at the Pathological Anatomical Department City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

Tamara M. Klementyeva

City Clinical Hospital № 52 of the Moscow Healthcare Department, Department of Urology

Email: uro52@mail.ru

Nephrologist, City Clinical Hospital № 52 of the Moscow Healthcare Department

Russian Federation, Moscow

References

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Supplementary files

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1. JATS XML
2. Fig. 1. MSCT with IV contrast. Tumor of the upper segment of the right kidney

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3. Fig. 2. Histological examination. Mixed epithelial-stromal tumor of the kidney (MEST). Stained with hematoxylin and eosin x20.

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4. Fig. 3. MSCT with IV contrast. Tumor of the lower segment of the right kidney

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5. Fig. 4. Histological examination. Leiomyoma of the kidney. Stained with hematoxylin and eosin x20.

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6. Fig. 5. Immunohistochemical study. Leiomyoma of the kidney. Calponin - diffuse pronounced cytoplasmic reaction in tumor cells

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7. Fig. 6. MSCT with IV contrast. Tumor of the upper segment of the right kidney (arterial and venous phase)

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8. Fig. 7. Intraoperative ultrasound picture of an anostomosing hemanthioma of the kidney

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9. Fig. 8. Anastomosing hemangioma of the kidney. Stained with hematoxylin and eosin x4, x10.

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