Giant renal oncocytoma

Background. Renal onkocytoma is a distinctive benign tumor derived from epithelial cells of the distal renal tubules. These tumors are often clinically asymptomatic, diagnosed accidentally and difficult to distinguish from renal cell carcinoma. Case report. We presented a giant renal onkocytoma...

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Main Authors: Stojanović Nebojša, Ignjatović Ivan, Kostov Miloš, Mijović Žaklina, Živković Sladjana, Košević Branko
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2013-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501301068S.pdf
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author Stojanović Nebojša
Ignjatović Ivan
Kostov Miloš
Mijović Žaklina
Živković Sladjana
Košević Branko
author_facet Stojanović Nebojša
Ignjatović Ivan
Kostov Miloš
Mijović Žaklina
Živković Sladjana
Košević Branko
author_sort Stojanović Nebojša
collection DOAJ
description Background. Renal onkocytoma is a distinctive benign tumor derived from epithelial cells of the distal renal tubules. These tumors are often clinically asymptomatic, diagnosed accidentally and difficult to distinguish from renal cell carcinoma. Case report. We presented a giant renal onkocytoma in a man aged 64, without any signs or symptoms of the urogenital system disorder. The preoperative diagnosis described the tumor mass of the right kidney, size 16 x 14 cm, and indicated a malignant tumor of kidney. The patient underwent radical nephrectomy. The tumor was encapsulated at the intersection with the characteristic central hyaline scar. Microscopically, it was built of uniform polygonal cells with abundant eosinophilic cytoplasm. Immunohystochemiclly, tumor cells were immunoreactive to CK AE1/AE3 and CD 117, but showed negative immunoreactivity to CK 7, RCC marker and Vimentin. Conclusion. Giant renal oncocytomas are rare tumors with benign clinical course. As a rule, they are discovered by accident. Clinical differentiation from malignant tumors of the kidney is not possible. They are treated surgically, mainly by radical nephrectomy. A definitive diagnosis is made only by histopathological examination of tumors using immunohistochemical marker panels.
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spelling doaj-art-4703c4316fff4a678edf76296cb1b4e72025-08-20T01:56:34ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502013-01-01701687110.2298/VSP1301068SGiant renal oncocytomaStojanović NebojšaIgnjatović IvanKostov MilošMijović ŽaklinaŽivković SladjanaKošević BrankoBackground. Renal onkocytoma is a distinctive benign tumor derived from epithelial cells of the distal renal tubules. These tumors are often clinically asymptomatic, diagnosed accidentally and difficult to distinguish from renal cell carcinoma. Case report. We presented a giant renal onkocytoma in a man aged 64, without any signs or symptoms of the urogenital system disorder. The preoperative diagnosis described the tumor mass of the right kidney, size 16 x 14 cm, and indicated a malignant tumor of kidney. The patient underwent radical nephrectomy. The tumor was encapsulated at the intersection with the characteristic central hyaline scar. Microscopically, it was built of uniform polygonal cells with abundant eosinophilic cytoplasm. Immunohystochemiclly, tumor cells were immunoreactive to CK AE1/AE3 and CD 117, but showed negative immunoreactivity to CK 7, RCC marker and Vimentin. Conclusion. Giant renal oncocytomas are rare tumors with benign clinical course. As a rule, they are discovered by accident. Clinical differentiation from malignant tumors of the kidney is not possible. They are treated surgically, mainly by radical nephrectomy. A definitive diagnosis is made only by histopathological examination of tumors using immunohistochemical marker panels.http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501301068S.pdfkidney neoplasmsdiagnosis, differentialadenoma, oxyphilicdiagnosishistological techniquessurgical procedures, operative
spellingShingle Stojanović Nebojša
Ignjatović Ivan
Kostov Miloš
Mijović Žaklina
Živković Sladjana
Košević Branko
Giant renal oncocytoma
Vojnosanitetski Pregled
kidney neoplasms
diagnosis, differential
adenoma, oxyphilic
diagnosis
histological techniques
surgical procedures, operative
title Giant renal oncocytoma
title_full Giant renal oncocytoma
title_fullStr Giant renal oncocytoma
title_full_unstemmed Giant renal oncocytoma
title_short Giant renal oncocytoma
title_sort giant renal oncocytoma
topic kidney neoplasms
diagnosis, differential
adenoma, oxyphilic
diagnosis
histological techniques
surgical procedures, operative
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2013/0042-84501301068S.pdf
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AT ignjatovicivan giantrenaloncocytoma
AT kostovmilos giantrenaloncocytoma
AT mijoviczaklina giantrenaloncocytoma
AT zivkovicsladjana giantrenaloncocytoma
AT kosevicbranko giantrenaloncocytoma