Successful management of a mixed epithelial and stromal renal tumor masquerading as lower pole renal cyst: A laparoscopic deroofing approach

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Main Authors: Alain M. Mukendi, Emelia K. C. de Heer‐Menlah Phaladi, Charles E. Mathye
Format: Artículo Open Access
Published: Wiley 2024
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author Alain M. Mukendi
Emelia K. C. de Heer‐Menlah Phaladi
Charles E. Mathye
author_facet Alain M. Mukendi
Emelia K. C. de Heer‐Menlah Phaladi
Charles E. Mathye
Alain M. Mukendi
Emelia K. C. de Heer‐Menlah Phaladi
Charles E. Mathye
collection Wiley Open Access
contents Successful management of a mixed epithelial and stromal renal tumor masquerading as lower pole renal cyst: A laparoscopic deroofing approach Alain M. Mukendi Emelia K. C. de Heer‐Menlah Phaladi Charles E. Mathye UroPrecision AbstractBackgroundRenal cysts are common in clinical practice, but some may harbor rare pathological entities such as mixed epithelial and stromal tumors (MEST). Imaging studies are crucial for accurate diagnosis. While laparoscopic deroofing is an established approach for symptomatic renal cysts, encountering MEST within a cyst is uncommon.Case PresentationWe present the case of a 37‐year‐old female who presented with persistent left flank pain. Imaging revealed a large renal cyst in the lower pole of the left kidney, classified as Bosniak 2. Despite analgesia, the patient's symptoms persisted, leading to a laparoscopic deroofing procedure. Histopathological examination postprocedure revealed a MEST. The patient reported complete resolution of symptoms at the 3‐month follow‐up.ConclusionThis unique case presents the successful identification and surgical management of a MEST masquerading as a lower pole renal cyst through laparoscopic deroofing. It also contributes to the existing literature by highlighting the importance of considering rare pathological entities in the evaluation of renal cysts and the value of laparoscopic techniques in their management. 10.1002/uro2.39 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/uro2.39
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id wiley_oa_10_1002_uro2_39
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2024
publisher Wiley
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spellingShingle Successful management of a mixed epithelial and stromal renal tumor masquerading as lower pole renal cyst: A laparoscopic deroofing approach
Alain M. Mukendi
Emelia K. C. de Heer‐Menlah Phaladi
Charles E. Mathye
UroPrecision
Successful management of a mixed epithelial and stromal renal tumor masquerading as lower pole renal cyst: A laparoscopic deroofing approach Alain M. Mukendi Emelia K. C. de Heer‐Menlah Phaladi Charles E. Mathye UroPrecision AbstractBackgroundRenal cysts are common in clinical practice, but some may harbor rare pathological entities such as mixed epithelial and stromal tumors (MEST). Imaging studies are crucial for accurate diagnosis. While laparoscopic deroofing is an established approach for symptomatic renal cysts, encountering MEST within a cyst is uncommon.Case PresentationWe present the case of a 37‐year‐old female who presented with persistent left flank pain. Imaging revealed a large renal cyst in the lower pole of the left kidney, classified as Bosniak 2. Despite analgesia, the patient's symptoms persisted, leading to a laparoscopic deroofing procedure. Histopathological examination postprocedure revealed a MEST. The patient reported complete resolution of symptoms at the 3‐month follow‐up.ConclusionThis unique case presents the successful identification and surgical management of a MEST masquerading as a lower pole renal cyst through laparoscopic deroofing. It also contributes to the existing literature by highlighting the importance of considering rare pathological entities in the evaluation of renal cysts and the value of laparoscopic techniques in their management. 10.1002/uro2.39 http://creativecommons.org/licenses/by/4.0/
title Successful management of a mixed epithelial and stromal renal tumor masquerading as lower pole renal cyst: A laparoscopic deroofing approach
topic UroPrecision
url https://onlinelibrary.wiley.com/doi/10.1002/uro2.39