Case Report: A case report of the diagnosis of renal inflammatory myofibroblastic tumor

TL;DR

A rare case of a renal inflammatory myofibroblastic tumor is reported, diagnosed through imaging and confirmed by pathology.

Contribution

This case report adds to the limited literature on renal inflammatory myofibroblastic tumors and highlights their imaging characteristics.

Findings

The tumor was identified as a benign renal-origin lesion through multiplanar imaging and temporal signal curve analysis.

Pathological examination confirmed the diagnosis of renal inflammatory myofibroblastic tumor.

The patient remained recurrence-free after surgical removal and follow-up.

Abstract

Renal inflammatory myofibroblastic tumor is a very rare disease that primarily occurs in the renal parenchyma and may even involve the renal pelvis. This study presents a case of renal inflammatory myofibroblastic tumor with exophytic growth, whose imaging appearance resembles that of a solitary perirenal mass. A 75-year-old male patient was referred to our hospital for further treatment after a retroperitoneal lesion was discovered and suspected at another hospital. Imaging examination revealed multiple cysts in both kidneys and a lesion located anterior to a cyst at the lower pole of the left kidney. Due to the presence of the cysts, the relationship between the lesion and the kidneys was unclear. We performed multiplanar reconstruction of the tumor images and generated a temporal signal curve. Based on these imaging findings, we determined that the lesion was a benign tumor of renal origin and could be surgically removed. Finally, pathological examination confirmed the diagnosis of a renal inflammatory myofibroblastic tumor. Postoperative telephone follow-up revealed that the patient was alive, and a follow-up abdominal CT performed at the local hospital showed no recurrence.

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