Leiomioma renal voluminoso

Abstract

Renal leiomyomas are uncommon between renal tumors, and they have a benign mesenchymatous origin. Because of their low incidence, unspecific symptomatololly an not well-defined iconographic semilogy, they often raise problems with differential diagnosis from kidney masses, although they are often big size lessionsWe report a patients with incidentally diagnosis of big solid left renal mass, who underwent radical nephrectomy resulting kidney pelvis leiomyoma. Diagnostic, hystological and therapeutic aspects are briefly review in literatureEmphasis is made on the relevance of a high index suspicion considering big solid asymptomatic renal masses in middle-age women. Specially in renal tumors with well-defined limits and abscense of locoregional and systemic disemination. We emphasized usefulness of Magnetic Angioresonance, immunohystochemical test and conservative surgery oportunity in small renal leiomyomas preoperatively confirmed