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Intrarenal supernumerary ovary excised with partial nephrectomy.
Katherine Hartigan1, Barry Pecha, Ganesh Rao
1Department of Surgery, University of Louisville School of Medicine, Louisville, Kentucky 40206, USA. katie.hartigan@louisville.edu
Urology
|February 8, 2006
Summary
Diagnosing complex renal masses can be challenging. A Bosniak Class III renal mass was unexpectedly found to be an intrarenal supernumerary ovary, a rare ectopic ovarian tissue anomaly.
Area of Science:
- Reproductive medicine
- Urologic oncology
- Pathology
Background:
- Distinguishing complex renal cysts from cystic renal tumors is clinically challenging.
- Accurate diagnosis is crucial to avoid unnecessary surgeries and missed cancer diagnoses.
- Bosniak classification system aids in evaluating renal mass complexity.
Observation:
- A patient presented with a Bosniak Class III renal mass.
- The mass was surgically managed with a partial nephrectomy.
- Post-operative pathological examination revealed the mass to be an intrarenal supernumerary ovary.
Findings:
- The case documents an extremely rare instance of ectopic ovarian tissue within the kidney.
- The intrarenal supernumerary ovary presented as a complex cystic renal mass.
- The lesion's complexity mimicked a renal tumor, necessitating surgical intervention.
Implications:
- This case highlights the importance of considering rare anomalies in renal mass differential diagnoses.
- It underscores the challenges in differentiating benign mimics from malignant renal tumors.
- The successful partial nephrectomy demonstrates a viable surgical approach for such unique presentations.