Primary renal angiosarcoma with renal vein thrombus: Case report and Review of literature

Primary angiosarcoma of the kidney is extremely rare and aggressive cancer when it presents renal vein thrombus. This presentation confers poor prognosis, with limited therapeutic options. We present a case that began with anemia and macroscopic hematuria. At diagnosis, computed tomography (CT) showed thrombosis of the left renal vein, and a radical nephrectomy was performed. Histological examination revealed a carcinoma of the collecting ducts of Bellini, with immunohistochemistry positive for epithelioid angiosarcoma.

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Publication Details

Journal
Urology Case Reports
Published
2026-01-19
DOI
https://doi.org/10.1016/j.eucr.2026.103351
Primary Topic
Vascular Tumors and Angiosarcomas
Type
article
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Primary renal angiosarcoma with renal vein thrombus: Case report and Review of literature

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Primary renal angiosarcoma with renal vein thrombus: Case report and Review of literature

Ricardo Fernández-Ferreira, Luis Alfredo Jiménez-López, Abel Antonio Ricardez Espinosa, Jose Manuel Torres-Zazueta, Mauricio S. Rodríguez-Mar, Mariana Hernández-Ramírez, Josué Farid Elías-Delgado
article en

Abstract

Primary angiosarcoma of the kidney is extremely rare and aggressive cancer when it presents renal vein thrombus. This presentation confers poor prognosis, with limited therapeutic options. We present a case that began with anemia and macroscopic hematuria. At diagnosis, computed tomography (CT) showed thrombosis of the left renal vein, and a radical nephrectomy was performed. Histological examination revealed a carcinoma of the collecting ducts of Bellini, with immunohistochemistry positive for epithelioid angiosarcoma.

Urology Case ReportsVol. 65
Mexican Social Security Institute (MX), Hospital Médica Sur (MX), Universidad Marista (MX), Pemex (Mexico) (MX), Universidad Nacional Autónoma de México (MX)
No poverty
Openalex Percentile: Top 84%
Vascular Tumors and Angiosarcomas
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