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Abstract

RÉSUMÉ
La tumeur mixte épithéliale et stromale du rein est une tumeur rénale rare, généralement bénigne. Chez l’hémodialysé, deux cas ont été décrits à ce jour dans la littérature. Nous rapportons le cas d’un patient hémodialysé de 37 ans ayant consulté pour une douleur intense du flanc droit. L’examen clinique a révélé une masse dans la fosse lombaire droite. L’uroscanner a mis en évidence une masse rénale droite hétérogène. Une néphrectomie élargie droite a été réalisée et l’étude anatomo-pathologique de la pièce opératoire a objectivé une tumeur mixte épithéliale et stromale du rein droit. Le patient poursuit ses séances d’hémodialyse.
ABSTRACT
Mixed epithelial and stromal tumor of kidney is a rare, usually benign renal tumor. In hemodialysis patients, two cases have been described to date. We report the case of a 37-year-old male hemodialysis patient who presented with severe right flank pain. Clinical examination revealed a mass in the right lumbar fossa. CT urogram revealed a heterogeneous right renal mass. A right enlarged nephrectomy was performed. Pathological evaluation of the surgical specimen showed a mixed epithelial and stromal tumor of right kidney. The patient is still undergoing hemodialysis.

Keywords

mixed epithelial and stromal tumor, kidney, hemodialysis tumeur mixte épithéliale et stromale, rein, hémodialysé

Article Details

How to Cite
Lengani, H. Y. A., Ouattara, S. ., Kaboré, N. T., Nitiéma, J. I., Sanou, G., Lompo, O., & Coulibaly, G. (2022). Tumeur Mixte Épithéliale et Stromale du Rein chez un Patient Hémodialysé Chronique. HEALTH SCIENCES AND DISEASE, 23(2). https://doi.org/10.5281/hsd.v23i2.3308

References

  1. Aubert S. Tumeurs mixtes épithéliales et stromales, in “Pathologies tumorales rénales”, Ed Elsevier Masson SAS, Issy-les-Moulineaux, 2014, pp 147-159.
  2. Michal M, Syrucek M. Benign mixed epithelial and stromal tumor of the kidney. Pathol - Res Pract. 1998;194:445-8.
  3. Calio A. Mixed epithelial and stromal tumor of the kidney. Am J Surg Pathol. 2016; 40:1538-49
  4. Wang C, Lin Y, Xiang H, Fang D, Jiang P, Shen B. Mixed epithelial and stromal tumor of the kidney: report of eight cases and literature review. World J Surg Oncol. 2013;11:207.
  5. Adsay NV, Jones EC. Mixed epithelial and stromal tumor of the kidney. Am J Surg Pathol. 2000;24:958-70.
  6. Podduturi V, Guileyardo JM. Mixed epithelial and stromal tumors of the kidney discovered incidentally at autopsy. Bayl Univ Med Cent Proc. 2015;28:224-6.
  7. Sangoi AR, Higgins JP. Bilateral mixed epithelial stromal tumor in an end-stage renal disease patient: the first case report. Hum Pathol. 2008;39:142-6.
  8. Lane BR, Campbell SC, Remer EM, Fergany AF, Williams SB, Novick AC, et al. Adult cystic nephroma and mixed epithelial and stromal tumor of the kidney: clinical, radiographic, and pathologic characteristics. Urology. 2008;71:1142–8.
  9. Khadhar A, Zehani A, Chelly I, Smichi I, Haouet S, Kchir N. Masse kystique du rein. Ann Pathol. 2015;35:463-6.
  10. Chuang C-K, Pan P-Y, Kao Y, Chou Y-C, Ng K-F, Wang L-J, et al. Mixed epithelial stromal tumor of the kidney: The male case and literature review. Urol Case Rep 2018;17:122-4.
  11. Tariq MT, Ullah S, Khan KS, Khan A, Ullah I. Mixed epithelial and stromal tumor (MEST) in a young adult male: A case report and literature review. Ann Med Surg. 2021;70:102888.
  12. Pêgas KL, Cambruzzi E, Furian RD, Hartmann AA, Lamonatto SE, Zanatta JM, et al. Renal mixed epithelial and stromal tumor: case report. J Bras Patol E Med Lab. 2015;51:39-43
  13. Rahbari-Oskoui F, O’Neill WC. Diagnosis and management of acquired cystic kidney disease and renal tumors in ESRD patients. Semin Dial. 2017;30:373-9.
  14. Tantravahi J, Steinman TI. Acquired cystic kidney disease. Semin Dial. 2000;13:330-34.
  15. Montironi R, Mazzucchelli R, Lopez-Beltran A, Martignoni G, Cheng L, Montorsi F, et al. Cystic nephroma and mixed epithelial and stromal tumour of the kidney: opposite ends of the spectrum of the same entity? Eur Urol. 2008;54:1237-46.
  16. Turbiner J, Amin MB, Humphrey PA, Srigley JR, De Leval L, Radhakrishnan A, et al. Cystic nephroma and mixed epithelial and stromal tumor of kidney: a detailed clinicopathologic analysis of 34 cases and proposal for renal epithelial and stromal tumor (rest) as a unifying term. Am J Surg Pathol. 2007;31:489-500.
  17. Organisation mondiale de la santé, Centre international de recherche sur le cancer, editors. WHO Classification of Tumours of the Urinary System and Male Genital Organs. Lyon: International agency for research on cancer, 2016.
  18. Arriola AGP, Taylor BL, Ma S, Malkowicz SB, Lal P. Malignant mixed epithelial and stromal tumor of the kidney with 2 simultaneous renal carcinomas in a male patient: case report and review of the literature. Int J Surg Pathol. 2018;26:56-63.
  19. Smichi I, Zehani A, Chelly I, Khadhar A, Azouz H, Nouira Y, et al. À propos d’une tumeur rarissime du rein : la tumeur mixte épithéliale et stromale maligne. Prog En Urol. 2015; 25:293-7.