Saltar al contenido
Autor/es Semidey ME, De Torres I, Landolfi E, Salcedo M, Sansano I, Ramon y Cajal S. Pathology Department. Vall d´Hebron Universitary Hospital. Barcelona. msemidey@excite.com
Orden de Presentacion 73 Solitary fibrous tumors (SFT) were first described in 1931 (Klemperer P, 1931) as tumors arising from the pleura. The urogenital tract continues to be a rare site but the number of cases reported to date is increasing in the last years, to our knowledge, 20 cases to date. We report two cases of SFT arising in the kidney with benign behavior.CASE 1: 30 year old man, with testicular pain. Grossly, a mass involving almost all kidney and renal capsule (13.5cm diameter). Cut surface of the tumor was firm and tan, with focal yellow haemorrhagic and hyalinized areas. Microscopically, predominant bland spindle-shaped cells with scanty and indistinct cytoplasm and ovoid, vesicular nuclei, showing finely dispersed chromatin, inconspicuous nucleoli without atypia. exhibiting hemangiopericytoma-like pattern, showing stain for Vimentin and CD34, focally for CD99 and bcl-2. CASE 2: 45 year old man asymptomatic. Grossly, a mass in left kidney (7.5 cm diameter). Cut surface was whittish, trabeculated and firm. Microscopicalley, the tumor was well circumscribed and monotonous, composed of bland spindle cells with hyalinized collagenous tissue in a storiform pattern with a prominent vascular component in an hemangiopericytoma-like pattern. The tumor cells had scant cytoplasm, vesicular ovoid nuclei, inconspicuous nucleoli without atypia. Showed stain for Vimentin, CD34 and Bcl-2. DISCUSSION: In general, SFT show blunt histology and a benign clinical course, although 2 cases have had a malignant outcome (Fine S, 2006, Bozkurt SU, 2007). Because the current cases did not fulfill malignancy criteria, such as the presence of necrosis, haemorrhage, high mitotic rate, atypical mitosis or p53 expression, we consider them to be benign SFT of the kidney. Pathologists should be aware of this diagnosis because of the medical boarding of the disease could change drastically.References:1. Klemperer P, Rabin CB. Primary neoplasms of the pleura: a report of five cases. Arch Pathol. 1931;11:385-412.2. Fine S, McCarthy D, Chan T. Malignant solitary fibrous tumor of the kidney. Arch Pathol Lab Med. 2006;130:857-861.3. Bozkurt SU, Ahiskali R, Kaya H. Solitary fibrous tumor of the kidney. Case report. APMIS. 2007; 115: 259-62.
Las cookies son unos archivos que se instalan en el equipo desde el que accedes a nuestra web con las finalidades que se describen en esta página.
La aplicación que utilizamos para obtener y analizar la información de la navegación es: Google Analytics
Esta aplicación ha sido desarrollada por Google, que nos presta el servicio de análisis de la audiencia de nuestra página. Esta empresa puede utilizar estos datos para mejorar sus propios servicios y para ofrecer servicios a otras empresas. Puedes conocer esos otros usos desde los enlaces indicados.
Esta herramienta no obtiene datos de los nombres o apellidos de los usuarios ni de la dirección postal desde donde se conectan. La información que obtiene esta relacionada por ejemplo con el número de páginas visitas, el idioma, red social en la que se publican nuestras noticias, la ciudad a la que está asignada la dirección IP desde la que acceden los usuarios, el número de usuarios que nos visitan, la frecuencia y reincidencia de las visitas, el tiempo de visita, el navegador que usan, el operador o tipo de terminal desde el que se realiza la visita.
Esta información la utilizamos para mejorar nuestra página, detectar nuevas necesidades y valorar las mejoras a introducir con la finalidad de prestar un mejor servicio a los usuarios que nos visitan.
Para permitir, conocer, bloquear o eliminar las cookies instaladas en tu equipo puedes hacerlo mediante la configuración de las opciones del navegador instalado en su ordenador.
Cookies are files that are installed on the computer from which you access our website for the purposes described in this page.
The application we use to obtain and analyze the navigation information is: Google Analytics
This application has been developed by Google, which gives us the analysis service of the audience on our page. This company can use this data to improve its own services and to offer services to other companies. You can know these other uses from the links indicated.
This tool does not obtain data of the names or surnames of the users nor of the postal address from where they are connected. The information you get is related, for example, to the number of pages visited, the language, the social network in which our news is published, the city to which the IP address is assigned from which the users access, the number of users that they visit us, the frequency and recidivism of the visits, the time of visit, the browser they use, the operator or type of terminal from which the visit is made.
We use this information to improve our site, detect new needs and evaluate the improvements to be introduced in order to provide a better service to users who visit us.
To allow, know, block or delete the cookies installed on your computer you can do so by configuring browser options installed on your computer.