A 60-year-old man undergoing hemodialysis for 13 years was referred to our department for evaluation of gross hematuria and a right renal mass.
Voided urine cytology was negative. Computed tomography and magnetic resonance imaging demonstrated a right renal mass (32 × 22 × 20 mm in diameter). We clinically diagnosed the tumor as renal cell carcinoma staged T1aN0M0 arising from a horseshoe kidney, and performed right heminephrectomy. Pathological examination of the surgical specimen showed a grade 2, pT1a, clear cell carcinoma and negative surgical margin. To our knowledge, this is a rare case of a renal cell carcinoma arising from a horseshoe kidney in a chronic hemodialysis patient.
Written by:
Miyazaki Y, Miyajima A, Maeda T, Ito Y, Tanaka N, Kosaka T, Masuda A, Mizuno R, Kikuchi E, Nakagawa K, Oya M. Are you the author?
Department of Urology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Reference: Clin Exp Nephrol. 2012 Aug;16(4):647-51.
doi: 10.1007/s10157-012-0661-z
PubMed Abstract
PMID: 22740237
UroToday.com Renal Cancer Section