Polypoid Fibro-Haemangioma of the Kidney in a Child with Gross Haematuria

Abstract

We present a case of gross haematuria in a 5-year-old boy caused by a fibro-haemangioma of the lower part of the pelvis of the right kidney. Pathology of this rare condition and differential diagnosis from other uncommon renal pelvic lesions occurring in childhood are discussed.

Pediatric Anastomosing Hemangioma: Case Report and Review of Renal Vascular Tumors in Children

“…A summary of the 50-year literature of pediatric renal vascular tumor cases (exclusive of malformations) is provided in Table 1. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] The list includes recent histologic diagnoses which are either provisionally or not yet incorporated in the International Society for the Study of Vascular Anomalies (ISSVA) classification system. 23 One of the uncategorized lesions is anastomosing hemangioma, which was recently described and has since been increasingly reported in the literature.…”

“…For patients with renal anastomosing hemangioma, as with other vascular tumors, the occurrence of hematuria can prompt earlier detection and potentially enable more conservative approaches. 11,14,21,22,25 Although CT and magnetic resonance imaging may yield highly suggestive results, these may still not provide definitive diagnoses for 29 Clinical and imaging characteristics denoting a neoplastic condition, particularly Wilms' tumor among pediatric patients, therefore still provide compelling indications for nephrectomy or chemotherapy. Whereas neoadjuvant chemotherapy, in accordance with the SIOP protocol, has the potential advantage of making the eventual excision simpler and safer, it foregoes with having a more accurate pretreatment histologic diagnosis and would expose patients with possibly benign lesions to chemotherapy-associated risks.…”