Malignant Solitary Fibrous Tumor of the Renal Vein Presenting as a Giant Renal Artery Aneurysm: A Case Report and Review of Literature

Alexandria M. Hertz; Charles K. Childers; Jonathan T. Wingate; Jason T. Perry; Charles A. Kitley; Timothy C. Brand; Mark I. Anderson

doi:10.1177/1066896918787650

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Malignant Solitary Fibrous Tumor of the Renal Vein Presenting as a Giant Renal Artery Aneurysm: A Case Report and Review of Literature

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Malignant Solitary Fibrous Tumor of the Renal Vein Presenting as a Giant Renal Artery Aneurysm: A Case Report and Review of Literature

Alexandria M. Hertz, Charles K. Childers, Jonathan T. Wingate, Jason T. Perry, Charles A. Kitley, Timothy C. Brand and Mark I. Anderson

International journal of surgical pathology, Vol.27(1), pp.72-76

02/01/2019

DOI: 10.1177/1066896918787650

PMID: 29992862

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Abstract

Objectives. To discuss an unusual presentation of solitary fibrous tumor (SFT) as well as the first description of SFT originating from the renal vein. Case Report. In this article, we report the case of a 56-year-old man who presented with nonspecific epigastric pain and was found on computed tomography to have a large 10-cm renal artery aneurysm with evidence of contained rupture, segmental ischemia of the kidney, and suggestion of renal vein thrombosis. This was treated by a multidisciplinary team of urologists, vascular surgeons, and interventional radiologists with both renal artery coil embolization and radical nephrectomy. The thrombosis was found on pathologic review to be a malignant SFT originating from the renal vein with likely erosion into the renal artery. Conclusion. This report describes the first case of SFT originating from the renal vein and demonstrates the potential for mimicry as a giant renal artery aneurysm.

Life Sciences & Biomedicine

Pathology

Science & Technology

Surgery

Details

Title: Subtitle: Malignant Solitary Fibrous Tumor of the Renal Vein Presenting as a Giant Renal Artery Aneurysm: A Case Report and Review of Literature
Creators: Alexandria M. Hertz - Madigan Army Medical Center
Charles K. Childers - Madigan Army Medical Center
Jonathan T. Wingate - Madigan Army Medical Center
Jason T. Perry - Madigan Army Medical Center
Charles A. Kitley - Madigan Army Medical Center
Timothy C. Brand - Madigan Army Medical Center
Mark I. Anderson - Madigan Army Medical Center
Resource Type: Journal article
Publication Details: International journal of surgical pathology, Vol.27(1), pp.72-76
DOI: 10.1177/1066896918787650
PMID: 29992862
NLM abbreviation: Int J Surg Pathol
ISSN: 1066-8969
eISSN: 1940-2465
Publisher: Sage
Number of pages: 5
Language: English
Date published: 02/01/2019
Academic Unit: Urology
Record Identifier: 9984848506102771

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