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Clinically Very Important Rare Benign Renal Tumor: Presentation of a Renal Oncocytoma Case
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Case report
VOLUME: 47 ISSUE: 2
P: 43-46
2014

Clinically Very Important Rare Benign Renal Tumor: Presentation of a Renal Oncocytoma Case

Acta Haematol Oncol Turc 2014;47(2):43-46
DOI: 10.5505/aot.2014.58066
Esref Oguz Güven
İsmail Selvi
Fatih Hızlı
Halil Başar
1. Dr. A. Y. Ankara Oncology Training And Research Hospital, Department Of Urology, Ankara, Turkey
2.
No information available.
No information available
Received Date: 2014-06-21T13:39:50
Accepted Date: 2014-10-30T15:21:47
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Abstract

Oncocytoma of the kidney was first described in 1942. The tumours are probably of proximal tubular epithelial origin and composed of oncocytes which are large epithelial cells with finely granular eosinophilic cytoplasm resulting from hypertrophied mitochondria.Most were being and 5–10 cm in diameter. They lack necrosis but may have central fibrosis.Peak incidence is in the seventh decade. Approximately 70% of oncocytomas are discovered as incidental findings,while 30% of patients may present flank pain, palpable renal mass, and gross or microscopic haematuria. Renal oncocytoma follows a benign clinical course.We report a right renal mass which was undistinguishable from renal cancer clinically but diagnosed as oncocytoma at the definitive pathological diagnosis. 65 yrs old man investigated for dull right flank pain lasting for more than 3 months.Renal ultrasonography revealed a right renal mass and CT examination confirms ultrasound by reporting a 10x8x6 cm solid mass located at the right kidney.Right radical nephrectomy was performed.Definitive pathology reported oncocytoma.Patient was discharged uneventfully. There is no reliable preoperative diagnostic procedure distinguishing oncocytoma from renal carcinoma. The presence of a central stellate scar on CT or spoke wheel vascular pattern on renal arteriography may be suggestive of renal oncocytoma but these findings are also seen in some cases of renal carcinoma.We conclude that in the evaluation of an incidental renal mass the possibility of an oncocytoma should always be kept in mind and patients should be informed properly.