Renal Cell Carcinoma Arising from Isthmus of Horseshoe Kidney

Sanjay M. Khaladkar

Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, India


Sai Sabari Vinay Kumar Parripati

Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, India


Deepak Koganti

Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, India


Satvik Dhirawani

Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, India


Urvashi Agarwal

Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune, India


Abstract

The most common congenital renal fusion anomaly is the horseshoe kidney (HSK) occurring in about 1 in 600–700 individuals in the Indian population. HSKs are associated with problems such as renal stones, obstruction of uretero-pelvic junction causing stasis, and infection due to ectopic location of the kidneys, malrotation of the kidneys, and vascular changes. In general, normally developed kidneys have more incidents of renal cell carcinoma (RCC) as compared to HSKs. The major issue arises during surgery of HSK due to their altered anatomy and aberrant blood supply. We present a case of HSK with RCC located in the isthmus of a 43-year-old woman.

References

1. Alamer A. Renal cell carcinoma in a horseshoe kidney: Radiology and pathology correlation. J Clin Imaging Sci. 2013;3:12. https://doi.org/10.4103/2156-7514.109725
2. Natsis K, Piagkou M, Skotsimara A, Protogerou V, Tsitouridis I, Skandalakis P. Horseshoe kidney: A review of anatomy and pathology. Surgical and Radiologic Anatomy. 2014;36(6):517–26. https://doi.org/10.1007/s00276-013-1229-7
3. Romics I, Riesz P, Szelepcsényi J, Nyirády P. Bilateral renal cell carcinoma in a horseshoe kidney. Pathol Oncol Res. 2002;8(4):270–1. https://doi.org/10.1007/BF03036743
4. Buntley D. Malignancy associated with horseshoe kidney. Urology. 1976;8(2):146–8. https://doi.org/10.1016/0090-4295(76)90344-7
5. Brum FA, Becker M, Uglione A, Da Ros CT. Polycystic horseshoe kidney. J Urol. 1997;158(6):2229. https://doi.org/10.1016/s0022-5347(01)68207-7
6. Whitfield HN, Hendry WF, editors. Textbook of genito-urinary surgery. London, Edinburgh: Churchill Livingstone; 1985. p. 229–30.
7. Ram N, Behera B, Rathi S, Trevedi S, Dwivedi U. Malignancy of a horseshoe kidney: A case series with a rare presentation. UroToday Int. 2012;5(6):70.
8. Bolton DM, Bowsher WG, Costello AJ. Renal cell carcinoma in both moieties of crossed fused ectopia. Aust N Z J Surg. 1993;63(8):662–3. https://doi.org/10.1111/j.1445-2197.1993.tb00483.x
9. Hohenfellner M, Schultz-Lampel D, Lampel A, Steinbach F, Cramer BM, Thüroff JW. Tumor in the horseshoe kidney: Clinical implications and review of embryogenesis. J Urol. 1992;147(4):1098–102. https://doi.org/10.1016/S0022-5347(17)37486-4
10. Hrair-george JM, Kelalis PP, Hrabovsky E, Othersen Jr HB, DeLorimier A, Nesmith B. Wilms tumor in horseshoe kidneys: A report from the National Wilms Tumor Study. J Urol. 1985;133(6):1002–3. https://doi.org/10.1016/S0022-5347(17)49351-7
11. Schubert Ra, Soldner J, Steiner J., Bilateral renal cell carcinoma in a hoseshoe kidney: Preoperative assessment with MRI and digital subtraction angiography. Eur Radiol, 1998,8:1694–7. https://doi.org/10.1007/s003300050615.
12. Fazio L, Razvi H, Chin JL. Malignancy in horseshoe kidneys: Review and discussion of surgical implications. Can J Urol. 2003;10(3):1899–904.
13. Kongnyuy M, Martinez D, Park A, McCormick B, Parker J, Hall M. A rare case of a renal cell carcinoma confined to the isthmus of a horseshoe kidney. Case Rep Urol. 2015;2015:126409. https://doi.org/10.1155/2015/126409
14. Grygorenko V, Zakordonets V, Danylets R, Torak V, Banas O, Vikarchuk M. Partial nephrectomy of horseshoe kidney with renal cell carcinoma localized in the isthmus and the lower poles of both parts: A case report. Eur Urol Suppl. 2017;16(5):e2175. https://doi.org/10.1016/S1569-9056(17)31332-5
15. Stimac G, Dimanovski J, Ruzic B, Spajic B, Kraus O. Tumors in kidney fusion anomalies report of five cases and review of the literature. Scand J Urol Nephrol. 2004;38(6):485–9. https://doi.org/10.1080/00365590410018684
16. Jansen WB, Bogdanowicz JF, Welling L. Surgical treatment of renal cell carcinoma in a horseshoe-shaped kidney concomitant with an aortic aneurysm. Eur J Vasc Endovasc Surg. 2001;22(3):280–1. https://doi.org/10.1053/ejvs.2001.1254
17. Kim TH. Renal cell carcinoma in a horseshoe kidney and preoperative superselective renal artery embolization: A case report. Korean J Radiol. 2005;6(3):200–3. https://doi.org/10.3348/kjr.2005.6.3.200
18. Roussel E, Tasso G, Campi R, Kriegmair MC, Kara Ö, Klatte T, et al. Surgical management and outcomes of renal tumors arising from horseshoe kidneys: Results from an international multicenter collaboration. Eur Urol. 2021;79(1):133–40. https://doi.org/10.1016/j.eururo.2020.09.012
19. Benidir T, de Castilho TJ, Cherubini GR, de Almeida Luz M. Laparoscopic partial nephrectomy for renal cell carcinoma in a horseshoe kidney. Can Urol Assoc J. 2014;8(11–12):E918–20. https://doi.org/10.5489/cuaj.2289
20. Tkocz M, Kupajski M. Tumour in horseshoe kidney—Different surgical treatment shown in five example cases. Contemp Oncol (Pozn). 2012;16(3):254–7. https://doi.org/10.5114/wo.2012.29295
21. Ghavamian R, Cheville JC, Lohse CM, Weaver AL, Zincke H, Blute ML. Renal cell carcinoma in the solitary kidney: an analysis of complications and outcome after nephron sparing surgery. J Urol. 2002 Aug;168(2):454-9. doi: 10.1016/s0022-5347(05)64657-5. PMID: 12131287. .

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