Perinephric Transplant Myelolipoma: A Case Report of a Rare Entity.


Journal

Transplantation proceedings
ISSN: 1873-2623
Titre abrégé: Transplant Proc
Pays: United States
ID NLM: 0243532

Informations de publication

Date de publication:
Oct 2023
Historique:
received: 11 07 2023
accepted: 31 07 2023
pubmed: 26 8 2023
medline: 26 8 2023
entrez: 25 8 2023
Statut: ppublish

Résumé

Myelolipomas are benign tumors usually found in adrenal glands. They can also be found extra-adrenally, either in 1 or multiple locations. Perinephric transplant myelolipoma has rarely been reported in the English literature. There's only been 1 instance of such a case reported in a kidney transplant patient, which was found on the explanted kidney. We report a case involving an asymptomatic patient with an ill-defined perinephric transplant mass. The mass was then identified as myelolipoma on biopsy. The patient was then managed conservatively with serial imaging and laboratory testing. At the time of our report, the patient continues to have stable renal function and is doing well 24 months after the mass was first identified. We report the first case of perinephric transplant myelolipoma in a patient with ongoing stable renal allograft function. Based on our case report, we recommended that conservative management with serial imaging and routine testing be considered for patients with perinephric transplant myelolipoma.

Sections du résumé

BACKGROUND BACKGROUND
Myelolipomas are benign tumors usually found in adrenal glands. They can also be found extra-adrenally, either in 1 or multiple locations. Perinephric transplant myelolipoma has rarely been reported in the English literature. There's only been 1 instance of such a case reported in a kidney transplant patient, which was found on the explanted kidney. We report a case involving an asymptomatic patient with an ill-defined perinephric transplant mass.
METHODS METHODS
The mass was then identified as myelolipoma on biopsy. The patient was then managed conservatively with serial imaging and laboratory testing.
RESULTS RESULTS
At the time of our report, the patient continues to have stable renal function and is doing well 24 months after the mass was first identified.
CONCLUSIONS CONCLUSIONS
We report the first case of perinephric transplant myelolipoma in a patient with ongoing stable renal allograft function. Based on our case report, we recommended that conservative management with serial imaging and routine testing be considered for patients with perinephric transplant myelolipoma.

Identifiants

pubmed: 37625934
pii: S0041-1345(23)00476-1
doi: 10.1016/j.transproceed.2023.07.013
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1917-1920

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest All the authors declare no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Tina Ruoting Wei (TR)

Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama. Electronic address: rwei@uabmc.edu.

Gaurav Agarwal (G)

Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

Frida Rosenblum (F)

Department of Pathology, University of Alabama at Birmingham, Birmingham, Alabama.

Clifton E Kew (CE)

Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.

Classifications MeSH