Rhabdomyosarcoma (RMS) of the Renal Pelvis in a Child: A Case Report

Crossmark: check for updates

Authors

  • Vincenzo Domenichelli Pediatric Surgery Unit, Infermi Hospital, AUSL Romagna, Rimini, Italy
  • Simona Straziuso Pediatric Surgery Unit, Infermi Hospital, AUSL Romagna, Rimini, Italy
  • Francesco Italiano Pediatric Surgery Unit, Infermi Hospital, AUSL Romagna, Rimini, Italy
  • Gabriella Pelusi Pediatric Surgery Unit, Infermi Hospital, AUSL Romagna, Rimini, Italy
  • Silvana Federici Pediatric Surgery Unit, Infermi Hospital, AUSL Romagna, Rimini, Italy

DOI:

https://doi.org/10.17140/UAOJ-1-110

Keywords:

Rhabdomyosarcoma (RMS), Renal mass, Uro-MRI, Kidney biopsy

Abstract

Rhabdomyosarcomas (RMS) of the kidney is extremely rare. We are reporting one case of embrional rhabdomyosarcoma localized in a child renal pelvis, focusing on the rarity of the site and role of imaging. An 8-years-old boy was admitted to the hospital with abdominal pain and hematuria. Ultrasonography revealed a right ureteropyelectasy including an echogenic image that extended from the renal pelvis towards inferior basin with no hypervascularization, simulating a clot. The urography-magnetic resonance imaging (Uro-MRI) showed two different components of the lesion: the first one simulating a clot; the second one detected in the papillary region and extended to the inferior calices having tumor-like features. A percutaneous ultrasound-guided renal biopsy revealed a botryoid embryonal rhabdomyosarcoma. The RMS is a complex childhood malignancy. This complexity is reflected in the radiological assessment that remains highly challenging and in the absense of treatment guidelines for unusual sites.

References

Donnelly LF. Diagnostic Imaging: Pediarics. 1st ed. Salt Lake City, UT, USA: Amirsys; 2005: 82.

Enzinger FM, Weiss SW, Rhabdomyosarcoma. In: Enzinger FM, Weiss AW, eds. Soft Tissue Tumours. 3rd ed. St. Louis, MO, USA: Mosby-Year- Book; 1995; 539-577.

Dagher R, Helman L. Rhabdomyosarcoma: An overview, On-cologist. 1999; 4(1): 34-44.

McCarville MB, Spunt SL, Pappo AS, Rhabdomyosar-com in pediatric patients: The good, the bad, and the unusual. AJR Am J Roentgenol. 2001; 176: 1563-1569. doi: 10.2214/ ajr.176.6.1761563

Lanzkowsky P. Rhabdomyosarcoma and other soft-tissue sar-comas. In: Lanzkowsky P, ed. Manual of Pediatric Hematology and Oncology. 5th ed. Cambridge, MA, USA: Academic Press, Elsevier; 2010: 715-716.

Perez EA, Kassira N, Cheung MC, et al. Rhabdomyosarcoma in children: A SEER population based study. J Surg Res. 2011; 170(2): e243-e251. doi: 10.1016/j.jss.2011.03.001

Takeyama J, Watanabe M, Sato A, Hayashi Y. A case of nephroblastoma histologically mimicking rhabdomyosarcoma. Virchows Arch. 2007; 451: 981-982. doi: 10.1007/s00428-007- 0477-5

Mehrain R, Nabahati M. A case of rhabdomyosarcoma of kid-ney mimicking nephroblastoma. Caspian J Intern Med. 2013; 4(1): 621-623.

Van Rijn RR, Wilde JC, Bras J, Oldenburger F, McHugh KM, Merks JH. Imaging findings in noncraniofacial childhood rhabdomyosarcoma. Pediatr Radiol. 2008; 38: 617-634. doi:

1007/s00247-008-0751-y 10. Kim EE, Valenzuela RF, Kumar AJ, et al. Imaging and clini-cal spectrum of rhabdomyosarcoma in children. Clin Imaging. 2000; 24(5): 257-262. doi: 10.1016/S0899-7071(00)00222-9

Van Rijn RR, Wilde JCH, Bras J, Oldenburger F, McHugh KMC, Merks JHM. Imaging findings in noncraniaofacial child-hood rhabdomyosarcoma. Pediatr Radiol. 2008; 38: 617-634. doi: 10.1007/s00247-008-0751-y

Mehrain R, Nabahati M. A case of rhabdomyosarcoma of kidney mimicking nephroblastoma. Caspian J Intern Med. 2013; 4: 621-623.

Diaconescu S, Burlea M, Miron I, et al. Childhood rhab-domyosarcoma. Anatomo-clinical and therapeutic study on 25 cases. Surgical implications. Rom J Morphol Embryol. 2013; 54: 531-537.

Lin WC, Chen JH, Westphalen A, et al. Primary renal rhab-domyosarcoma in an adolescent with tumor thrombosis in the inferior vena cava and right atrium. Medicine (Baltimore). 95: e3771. doi: 10.1097/MD.0000000000003771

Parvin S, Ghosh R, Das RN, et al. Primary renal rhab-Reprinted from domyosarcoma: An unusual bone metastasizing tumor of the kidney. Fetal Pediatr Pathol. 2016; 35: 251-259. doi: 10.1080/15513815.2016.1175528

Raney B, Anderson J, Arndt C, et al; Soft-Tissue Sarcoma Committee of the Children's Oncology. Primary renal sarcomas in the Intergroup Rhabdomyosarcoma Study Group (IRSG) experience, 1972-2005: A report from the children’s Oncology Group. Pediatr Blood Cancer. 2008; 51: 339-343.

Senga Y, Satomi Y, Fukuda M, et al. A case of embryonal rhabdomyosarcoma of the kidney. Hinyokika Kiyo. 1985; 31: 1013-1019.

Downloads

Published

2017-07-04

How to Cite

Vincenzo Domenichelli, Simona Straziuso, Francesco Italiano, Gabriella Pelusi, & Silvana Federici. (2017). Rhabdomyosarcoma (RMS) of the Renal Pelvis in a Child: A Case Report. Urology and Andrology , 1(2), 35–38. https://doi.org/10.17140/UAOJ-1-110