Anaplastic sarcoma of the kidney: Case report and literature review

We present a case of a 22-year-old female with gross hematuria for 1 month. A 9.5-cm tumor was found at her left kidney. On suspicion of a renal cancer, she received left nephrectomy. Histologically, it was a hypercellular tumor with undifferentiated anaplastic neoplastic cells in fascicular sheets...

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Main Authors: Chien-Chin Chen, Kai-Sheng Liao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Tzu Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=2;spage=129;epage=132;aulast=Chen
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author Chien-Chin Chen
Kai-Sheng Liao
author_facet Chien-Chin Chen
Kai-Sheng Liao
author_sort Chien-Chin Chen
collection DOAJ
description We present a case of a 22-year-old female with gross hematuria for 1 month. A 9.5-cm tumor was found at her left kidney. On suspicion of a renal cancer, she received left nephrectomy. Histologically, it was a hypercellular tumor with undifferentiated anaplastic neoplastic cells in fascicular sheets intermixed with chondroid nodules. The differential diagnoses included anaplastic sarcoma of the kidney (ASK), anaplastic Wilms tumor, mesenchymal chondrosarcoma, sarcomatoid renal cell carcinoma, clear cell sarcoma of the kidney, rhabdoid tumor of the kidney, congenital mesoblastic nephroma, and synovial sarcoma. Based on the results of the work-up and literature review, ASK was diagnosed. The postoperative recovery was uneventful, and the patient began adjuvant chemotherapy (Ifosfamide [1800 mg/m2] and Epirubicin [60 mg/m2]) 5 weeks after the operation. Herein, we present this case to share the experience on an extremely rare entity.
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spelling doaj-art-e6400ae6ea7e407492f70a33879a762f2025-08-20T02:14:01ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562019-01-0131212913210.4103/tcmj.tcmj_194_18Anaplastic sarcoma of the kidney: Case report and literature reviewChien-Chin ChenKai-Sheng LiaoWe present a case of a 22-year-old female with gross hematuria for 1 month. A 9.5-cm tumor was found at her left kidney. On suspicion of a renal cancer, she received left nephrectomy. Histologically, it was a hypercellular tumor with undifferentiated anaplastic neoplastic cells in fascicular sheets intermixed with chondroid nodules. The differential diagnoses included anaplastic sarcoma of the kidney (ASK), anaplastic Wilms tumor, mesenchymal chondrosarcoma, sarcomatoid renal cell carcinoma, clear cell sarcoma of the kidney, rhabdoid tumor of the kidney, congenital mesoblastic nephroma, and synovial sarcoma. Based on the results of the work-up and literature review, ASK was diagnosed. The postoperative recovery was uneventful, and the patient began adjuvant chemotherapy (Ifosfamide [1800 mg/m2] and Epirubicin [60 mg/m2]) 5 weeks after the operation. Herein, we present this case to share the experience on an extremely rare entity.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=2;spage=129;epage=132;aulast=ChenAnaplastic sarcomaMesenchymal chondrosarcomaRenal tumorSarcomatoid carcinomaWilms tumor
spellingShingle Chien-Chin Chen
Kai-Sheng Liao
Anaplastic sarcoma of the kidney: Case report and literature review
Tzu Chi Medical Journal
Anaplastic sarcoma
Mesenchymal chondrosarcoma
Renal tumor
Sarcomatoid carcinoma
Wilms tumor
title Anaplastic sarcoma of the kidney: Case report and literature review
title_full Anaplastic sarcoma of the kidney: Case report and literature review
title_fullStr Anaplastic sarcoma of the kidney: Case report and literature review
title_full_unstemmed Anaplastic sarcoma of the kidney: Case report and literature review
title_short Anaplastic sarcoma of the kidney: Case report and literature review
title_sort anaplastic sarcoma of the kidney case report and literature review
topic Anaplastic sarcoma
Mesenchymal chondrosarcoma
Renal tumor
Sarcomatoid carcinoma
Wilms tumor
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2019;volume=31;issue=2;spage=129;epage=132;aulast=Chen
work_keys_str_mv AT chienchinchen anaplasticsarcomaofthekidneycasereportandliteraturereview
AT kaishengliao anaplasticsarcomaofthekidneycasereportandliteraturereview