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Radiologic and pathologic correlation of a renal venous hemangioma

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Abstract

Renal hemangiomas, including the rare subtype of venous hemangioma, are typically non-cancerous, often asymptomatic, and usually discovered incidentally during imaging studies. Here, we report a unique case of a 59-year-old African-American female with a renal venous hemangioma that initially mimicked papillary-type renal cell carcinoma (RCC-pt) on imaging studies. The patient's presentation included a long history of rectal bleeding and an incidental discovery of a hypoattenuating mass in the left kidney during a contrast-enhanced CT scan. Renal MRI revealed a 3.5 cm left renal lower pole mass, presenting as heterogeneously hyperintense on T1-weighted images and hypointense on T2-weighted images, with gradual mild enhancement post-contrast. Subsequent total nephrectomy confirmed the histopathological diagnosis of a venous hemangioma. This case underlines the need for recognizing unique imaging features of renal venous hemangiomas, contributing to the differential diagnosis of T2 dark hypoenhancing renal masses. Correct interpretation may prevent unnecessary invasive procedures and operations, thereby improving patient management and outcomes.

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The author(s) received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Faculty of Medicine, Ege University, Erzene Ave, 35040, Bornova, Izmir, Turkey

    Alperen Elek

  2. Faculty of Medicine, Department of Pathology, University of Chicago, 5801 S. Ellis Ave, Chicago, IL, 60637, USA

    Jung Woo Kwon

  3. Gulhane Faculty of Medicine, University of Health Sciences, Emrah Ave, Etlik, Kecioren, 06018, Ankara, Turkey

    Sena Ertugrul

  4. Faculty of Medicine, Department of Radiology, University of Chicago, 5801 S. Ellis Ave, Chicago, IL, 60637, USA

    Nisa Cem Oren

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  1. Alperen Elek
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  2. Jung Woo Kwon
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Correspondence to Nisa Cem Oren.

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Elek, A., Kwon, J.W., Ertugrul, S. et al. Radiologic and pathologic correlation of a renal venous hemangioma. Int Canc Conf J 12, 227–232 (2023). https://doi.org/10.1007/s13691-023-00626-6

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  • DOI: https://doi.org/10.1007/s13691-023-00626-6

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