Incidental stromal-predominant mixed epithelial-stromal tumors of the kidney: A mimic of intraparenchymal renal leiomyoma

Parin Parikh, Theresa Y. Chan, Jonathan Ira Epstein, Pedram Argani

Research output: Contribution to journalArticle

Abstract

Context. - Mixed epithelial-stromal tumor of the kidney is a recently recognized benign renal tumor that usually occurs in adult women and typically forms a sizable lesion with solid and cystic areas. The recognized morphologic spectrum of this recently described entity is evolving. Objective. - To review the clinicopathologic features of 3 small mixed epithelial-stromal tumors of the kidney that were incidental findings in kidneys removed for other reasons. Design. - The clinical presentation and morphologic findings of the 3 cases were reviewed. A panel of immunohistochemical stains was performed. Setting. -Academic medical center. Results. - All 3 lesions contained predominantly fascicles of smooth muscle mimicking leiomyoma, but they also had cellular subpopulations of smaller, müllerian-appearing stromal cells. Tubules present within the lesion were most abundant at the periphery, suggesting that they might be entrapped. Although only the spindled smooth muscle cells were immunoreactive for muscle markers desmin and actin, both the spindled smooth muscle cells and the cellular müllerian-appearing stromal cells demonstrated diffuse nuclear labeling for estrogen and progesterone receptors. Conclusions. - Mixed epithelial-stromal tumor of the kidney may present as an incidental stromal-predominant lesion within the kidney. Such lesions are easily confused with leiomyomas or stromal-predominant angiomyolipomas.

Original languageEnglish (US)
Pages (from-to)910-914
Number of pages5
JournalArchives of Pathology and Laboratory Medicine
Volume129
Issue number7
StatePublished - Jul 2005

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Leiomyoma
Kidney
Neoplasms
Stromal Cells
Smooth Muscle Myocytes
Angiomyolipoma
Incidental Findings
Desmin
Progesterone Receptors
Estrogen Receptors
Smooth Muscle
Actins
Coloring Agents
Muscles

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

Cite this

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title = "Incidental stromal-predominant mixed epithelial-stromal tumors of the kidney: A mimic of intraparenchymal renal leiomyoma",
abstract = "Context. - Mixed epithelial-stromal tumor of the kidney is a recently recognized benign renal tumor that usually occurs in adult women and typically forms a sizable lesion with solid and cystic areas. The recognized morphologic spectrum of this recently described entity is evolving. Objective. - To review the clinicopathologic features of 3 small mixed epithelial-stromal tumors of the kidney that were incidental findings in kidneys removed for other reasons. Design. - The clinical presentation and morphologic findings of the 3 cases were reviewed. A panel of immunohistochemical stains was performed. Setting. -Academic medical center. Results. - All 3 lesions contained predominantly fascicles of smooth muscle mimicking leiomyoma, but they also had cellular subpopulations of smaller, m{\"u}llerian-appearing stromal cells. Tubules present within the lesion were most abundant at the periphery, suggesting that they might be entrapped. Although only the spindled smooth muscle cells were immunoreactive for muscle markers desmin and actin, both the spindled smooth muscle cells and the cellular m{\"u}llerian-appearing stromal cells demonstrated diffuse nuclear labeling for estrogen and progesterone receptors. Conclusions. - Mixed epithelial-stromal tumor of the kidney may present as an incidental stromal-predominant lesion within the kidney. Such lesions are easily confused with leiomyomas or stromal-predominant angiomyolipomas.",
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AU - Argani, Pedram

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