CT and MRI Findings of Primary Renal Angiosarcoma with Spontaneous Rupture and Venous Thrombosis: Case Report

자발성 파열과 신정맥 혈전을 동반한 원발성 신장 혈관육종의 CT 및 MRI 소견: 증례 보고

  • Kim, Young-Hwan (Department of Radiology, Keimyung University Dongsan Hospital, College of Medicine) ;
  • Kim, See-Hyung (Department of Radiology, Keimyung University Dongsan Hospital, College of Medicine) ;
  • Kim, Young-Hwan (Department of Radiology, Keimyung University Dongsan Hospital, College of Medicine)
  • 김영환 (계명대학교 의과대학 동산의료원 영상의학과) ;
  • 김시형 (계명대학교 의과대학 동산의료원 영상의학과) ;
  • 김영환 (계명대학교 의과대학 동산의료원 영상의학과)
  • Published : 2011.06.01

Abstract

Primary renal angiosarcoma is a very rare malignant mesenchymal tumor. CT shows a well-margined enhancing mass with hemorrhage, perirenal hematoma and renal vein thrombosis in the lower pole of the right kidney. MRI shows heterogeneous low- and high-signal intensities of the mass on T1- and T2-weighted images, as well as a relatively homogeneous enhancement on contrast enhanced T1-weighted images. We report here on a rare case of primary renal angiosarcoma with spontaneous rupture and venous thrombosis.

원발성 신장 혈관육종은 매우 드문 중간엽 기원의 악성 종양이다. CT에서 우측 신장 하엽에 신장 주위의 혈종과 신정맥 혈전을 동반한 일부 출혈을 하며 조영증강이 잘 되고 경계가 좋은 종괴가 관찰되었다. MRI T1 및 T2 강조영상에서 불균일한 저신호와 고신호강도를 보였으며, T1 조영증강 영상에서 비교적 균일한 조영증강을 보였다. 저자들은 자발성 파열과 신정맥 혈전을 동반한 원발성 혈관육종의 증례를 경험하였기에 이를 보고하고자 한다.

Keywords

References

  1. Grignon DJ, Ayala AG, RO JY, El-Naggar A, Papadopoulos NJ. Primary sarcoma of the kidney: a clinicopathologic and DNA flow cytometric study of 17 cases. Cancer 1990;65:1611-1618 https://doi.org/10.1002/1097-0142(19900401)65:7<1611::AID-CNCR2820650727>3.0.CO;2-G
  2. Srinivas V, Sogani PC, Hajdu SI, Whitmore WF Jr. Sarcomas of the kidney. J Urol 1984;132:13-16 https://doi.org/10.1016/S0022-5347(17)49441-9
  3. Tsuda N, Chowdhury PR, Hayashi T, Anami M, Iseki M, Koga S, et al. Primary renal angiosarcoma: a case report and review of the literature. Pathol Int 1997;47:778-783 https://doi.org/10.1111/j.1440-1827.1997.tb04457.x
  4. Lee TY, Lawen J, Gupta R. Renal angiosarcoma: a case report and literature review. Can J Urol 2007;14:3471-3476
  5. Souza OE, Etchebehere RM, Lima MA, Monti PR. Primary renal angiosarcoma. Int Braz J Urol 2006;32: 448-450
  6. Leggio L, Addolorato G, Abenavoli L, Ferrulli A, D'Angelo C, Mirijello A, et al. Primary renal angiosarcoma: a rare malignancy. A case report and review of the literature. Urol Oncol 2006;24:307-312 https://doi.org/10.1016/j.urolonc.2005.10.002
  7. Yoshida K, Ito F, Nakazawa H, Maeda Y, Tomoe H, Aiba M. A case of primary renal angiosarcoma. Rare Tumors 2009;1:E28 https://doi.org/10.4081/rt.2009.e18
  8. Aksoy Y, Gursan N, Ozbey I, Bicgi O, Keles M. Spontaneous rupture of a renal angiosarcoma. Urol Int 2002;68:60-62 https://doi.org/10.1159/000048419
  9. Guo HF, Song Y, Na YQ. Value of abdominal ultrasound scan, CT and MRI for diagnosing inferior vena cava tumour thrombus in renal cell carcinoma. Chin Med J 2009;122:2299-2302
  10. Hallscheidt PJ, Fink C, Haferkamp A, Bock M, Luburic A, Zuna I, et al. Preoperative staging of renal cell carcinoma with inferior vena cava thrombus using multidetector CT and MRI: prospective study with histopathological correlation. J Comput Assist Tomogr 2005;29:64-68 https://doi.org/10.1097/01.rct.0000146113.56194.6d