Austin Erickson , Aleksander Druck , Andreas Karachristos , Trushar Patel
{"title":"左肾平滑肌肉瘤伴肾静脉及下腔静脉肿瘤血栓","authors":"Austin Erickson , Aleksander Druck , Andreas Karachristos , Trushar Patel","doi":"10.1016/j.eucr.2025.103221","DOIUrl":null,"url":null,"abstract":"<div><div>Primary renal leiomyosarcoma (PRLMS) are rare, aggressive smooth muscle tumors, and vascular involvement with tumor thrombus is especially uncommon. We present a case of a 66-year-old male with hematuria and abdominal pain found to have a 10.5 cm left renal mass with thrombus extending into the renal vein and inferior vena cava (IVC). The patient underwent open radical nephrectomy with IVC thrombectomy. Histopathology confirmed grade 2 leiomyosarcoma with negative surgical margins, The patient recovered uneventfully and remains disease-free five months postoperatively, highlighting the important of complete resection.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103221"},"PeriodicalIF":0.4000,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Leiomyosarcoma of the left kidney with renal vein and inferior vena cava tumor thrombus\",\"authors\":\"Austin Erickson , Aleksander Druck , Andreas Karachristos , Trushar Patel\",\"doi\":\"10.1016/j.eucr.2025.103221\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Primary renal leiomyosarcoma (PRLMS) are rare, aggressive smooth muscle tumors, and vascular involvement with tumor thrombus is especially uncommon. We present a case of a 66-year-old male with hematuria and abdominal pain found to have a 10.5 cm left renal mass with thrombus extending into the renal vein and inferior vena cava (IVC). The patient underwent open radical nephrectomy with IVC thrombectomy. Histopathology confirmed grade 2 leiomyosarcoma with negative surgical margins, The patient recovered uneventfully and remains disease-free five months postoperatively, highlighting the important of complete resection.</div></div>\",\"PeriodicalId\":38188,\"journal\":{\"name\":\"Urology Case Reports\",\"volume\":\"63 \",\"pages\":\"Article 103221\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2025-09-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S221444202500292X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221444202500292X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Leiomyosarcoma of the left kidney with renal vein and inferior vena cava tumor thrombus
Primary renal leiomyosarcoma (PRLMS) are rare, aggressive smooth muscle tumors, and vascular involvement with tumor thrombus is especially uncommon. We present a case of a 66-year-old male with hematuria and abdominal pain found to have a 10.5 cm left renal mass with thrombus extending into the renal vein and inferior vena cava (IVC). The patient underwent open radical nephrectomy with IVC thrombectomy. Histopathology confirmed grade 2 leiomyosarcoma with negative surgical margins, The patient recovered uneventfully and remains disease-free five months postoperatively, highlighting the important of complete resection.
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