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Article Abstract

Renal leiomyosarcoma is a rare and aggressive tumor that comprises a very small proportion of adult kidney malignancies. Its clinical and imaging characteristics can closely resemble those of other high-grade renal tumors, which complicates the diagnostic process. We report the case of a 66-year-old male patient who presented with a large left renal mass and was diagnosed with high-grade pleomorphic leiomyosarcoma. He underwent radical nephrectomy along with en bloc removal of a para-aortic lymph node, which was histologically confirmed to contain metastatic disease. In an unusual postoperative development, the patient presented with a subcutaneous mass at the prior biopsy site. This was confirmed to be tumor seeding along the biopsy tract, an infrequent occurrence in renal sarcomas.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12381681PMC
http://dx.doi.org/10.7759/cureus.88880DOI Listing

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