A Rare Case of Renal Cell Carcinoma With Leiomyomatous Stroma and Concomitant Ruptured Adrenal Aneurysm

Chuanyong Lu, Anthony Nicastri, Charles Shao

Research output: Contribution to journalArticle


Here we report a rare case of coexisting renal cell carcinoma (RCC) with leiomyomatous stroma and a ruptured adrenal aneurysm. The patient was a 75-year-old woman with acute abdominal pain. Imaging studies showed a left peri-renal hematoma and a mass in the left kidney. Left nephrectomy and adrenalectomy were performed. Pathological examination showed a ruptured aneurysm in the left adrenal gland. The renal mass was composed of tubules and acini of epithelial cells and a prominent leiomyomatous stroma. The tumor cells were positive for carbonic anhydrase IX, cytokeratin 7, and negative for AMACR, consistent with clear cell (tubulo) papillary RCC.

Original languageEnglish (US)
Pages (from-to)55-57
Number of pages3
JournalUrology Case Reports
Publication statusPublished - Sep 1 2016
Externally publishedYes



  • Adrenal aneurysm
  • Clear cell (tubulo) papillary renal cell carcinoma
  • Leiomyomatous stroma
  • Renal angiomyoadenomatous tumor
  • Renal cell carcinoma

ASJC Scopus subject areas

  • Urology

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