Biomedical
A sheep in wolf's clothing; a case of renal leiomyoma masquerading as hereditary leiomyomatosis and renal cell carcinoma
Peer Reviewed
Abstract
Introduction: Active surveillance has become a standard of care for the management of small renal masses. Decision to transition from surveillance to intervention relies on several factors including growth kinetics, histologic grade on biopsy and patient comorbidities. Management of renal masses in pregnancy presents a unique change when clinical triggers must be weighed with risk to fetus. We present the case of a third trimester patient with an enlarging and enhancing renal mass managed with robotic assisted laparoscopic partial nephrectomy. Histologic analysis was consistent with renal leiomyoma. Renal leiomyomas are a rare benign mesenchymal tumor influenced by changes in progesterone-estrogen axis.
Key Questions
What is a renal leiomyoma?
A rare benign tumor found in the kidney, often mistaken for malignant masses.
Why was laparoscopic surgery performed during pregnancy?
The mass showed rapid growth and needed intervention, and laparoscopy was deemed safe for the patient and fetus.
What is the importance of patient-centered counseling in this case?
It helps in assessing risks and benefits, ensuring the patient's health needs are prioritized while managing the tumor.
