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Published on: September 13, 2019
Renal pleomorphic undifferentiated sarcoma: a rarity
Suresh Kumar1, Punit Bansal, Punit Tiwari
1The Institute of Post-Graduate Medical Education and Research (IPGMER), Kolkota, West Bengal, India. sureshsingla08@gmail.com
Abstract:
A 70-year-old male presented with progressive weight loss for eight months. Radiological imaging showed a large tumor in the right kidney. The patient underwent right open radical nephrectomy and histopathology revealed pleomorphic undifferentiated sarcoma (PUS) earlier known as malignant fibrous histiocytoma (MFH). One year after surgery, the patient developed pulmonary metastasis. Unfortunately, the patient died after six months.
Insights
A rare kidney cancer, pleomorphic undifferentiated sarcoma (PUS), formerly malignant fibrous histiocytoma (MFH), was diagnosed in a 70-year-old male. Despite surgery, the patient experienced metastasis and succumbed to the disease within 18 months.
Area of Science:
- Oncology
- Pathology
- Surgical Oncology
Background:
- Pleomorphic undifferentiated sarcoma (PUS), previously known as malignant fibrous histiocytoma (MFH), is a rare soft tissue sarcoma.
- Kidney sarcomas are uncommon, often presenting with nonspecific symptoms like weight loss.
Observation:
- A 70-year-old male presented with eight months of progressive weight loss.
- Imaging revealed a large right kidney tumor.
- Histopathology confirmed pleomorphic undifferentiated sarcoma (PUS/MFH) post-nephrectomy.
Findings:
- The patient developed pulmonary metastasis one year after radical nephrectomy.
- The sarcoma demonstrated aggressive behavior with rapid progression.
Implications:
- This case highlights the challenges in diagnosing and managing rare kidney sarcomas.
- Early detection and aggressive treatment strategies are crucial for improving outcomes in PUS/MFH.
- Further research into the molecular mechanisms and targeted therapies for PUS/MFH is warranted.
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