Wu Wenjie, Liang Tiantian, Zhang Hui
Department of Nuclear Medicine Department, Shanxi Traditional Chinese Medical Hospital, Taiyuan, China.
Department of Radiology, Guizhou Provincial People's Hospital, Guiyang, China.
Front Oncol. 2025 Jun 6;15:1543858. doi: 10.3389/fonc.2025.1543858. eCollection 2025.
Renal inflammatory myofibroblastic tumor is a very rare disease that primarily occurs in the renal parenchyma and may even involve the renal pelvis. This study presents a case of renal inflammatory myofibroblastic tumor with exophytic growth, whose imaging appearance resembles that of a solitary perirenal mass. A 75-year-old male patient was referred to our hospital for further treatment after a retroperitoneal lesion was discovered and suspected at another hospital. Imaging examination revealed multiple cysts in both kidneys and a lesion located anterior to a cyst at the lower pole of the left kidney. Due to the presence of the cysts, the relationship between the lesion and the kidneys was unclear. We performed multiplanar reconstruction of the tumor images and generated a temporal signal curve. Based on these imaging findings, we determined that the lesion was a benign tumor of renal origin and could be surgically removed. Finally, pathological examination confirmed the diagnosis of a renal inflammatory myofibroblastic tumor. Postoperative telephone follow-up revealed that the patient was alive, and a follow-up abdominal CT performed at the local hospital showed no recurrence.
肾炎性肌纤维母细胞瘤是一种非常罕见的疾病,主要发生于肾实质,甚至可累及肾盂。本研究报告一例具有外生性生长的肾炎性肌纤维母细胞瘤病例,其影像学表现类似于肾周孤立性肿块。一名75岁男性患者在另一家医院发现并怀疑有腹膜后病变后转诊至我院进一步治疗。影像学检查显示双肾多发囊肿,左肾下极一个囊肿前方有一病变。由于存在囊肿,病变与肾脏的关系不明确。我们对肿瘤图像进行了多平面重建并生成了时间信号曲线。基于这些影像学表现,我们确定该病变为肾源性良性肿瘤,可手术切除。最后,病理检查确诊为肾炎性肌纤维母细胞瘤。术后电话随访显示患者存活,当地医院进行的腹部CT随访未发现复发。