Logo-jnp
J Nephropathol. 2020;9(2): e20.
doi: 10.34172/jnp.2020.20
  Abstract View: 120
  PDF Download: 21

Case Report

Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder 

Paulette Cutruzzula Dreher 1 * ORCID logo, Jessica M. Fazendin 2 ORCID logo, Kelly Lurz 1,2 ORCID logo, Daniel C. Edwards 1 ORCID logo, Stephen Guy 1 ORCID logo, Melanie Amster 1 ORCID logo

1 Department of Urology, Hahnemann University Hospital, Philadelphia, PA, USA
2 Department of General Surgery, Drexel University College of Medicine, Philadelphia, PA, USA
3 Department of Transplant Surgery, Drexel University College of Medicine, Philadelphia, PA, USA

Abstract

Introduction: There exist few reports of de novo tumors involving an allograft kidney, and to the best of our knowledge there are only two previous reports of angiomyxoma

Case Presentation: A 53-year-old Caucasian male with end-stage renal disease (ESRD) on hemodialysis (HD) secondary to malakoplakia with three failed prior renal transplants presented for repeat transplant evaluation. Imaging demonstrated a mass of the transplanted kidney suggestive of posttransplant lymphoproliferative disease (PTLPD). A biopsy was obtained revealing a predominance of myxoid material. The patient became increasingly symptomatic from the mass and underwent a palliative right transplant nephrectomy. Final pathology revealed angiomyxoid tumor.

Conclusions: Angiomyxomas are asymptomatic, appear as PTLD on imaging and should be considered in the differential diagnosis of masses occurring in renal transplant allografts.  

Keywords: Angiomyxoid tumor, Renal transplant, Post-transplant lymphoproliferative disease, Malakoplakia

Implication for health policy/practice/research/medical education:

Allograft kidney transplant patients presenting with post-transplant lymphoproliferative disease on imaging should be considered in differential diagnosis of rare masses occurring de novo in renal transplant patients.

Please cite this paper as: Dreher PC, Fazendin JM, Lurz K, Edwards DC, Guy S, Amster M. Painful angiomyxoid tumor in a failed renal allograft presenting as post-transplant lymphoproliferative disorder. J Nephropathol. 2020;9(2):e20. DOI: 10.34172/jnp.2020.20.

First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 120

Your browser does not support the canvas element.


PDF Download: 21

Your browser does not support the canvas element.

Submitted: 06 May 2018
Accepted: 27 Jul 2019
ePublished: 10 Sep 2019
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)