Subepithelial haematoma of the renal pelvis (Antopol–Goldman lesion)

Demirkan, Neşe Çallı; Tuncay, Levent; Düzcan, Ender; Atahan, Özcan; Pakdemirli, Emre

doi:10.1046/j.1365-2559.1999.0781d.x

Cited by 10 publications

(2 citation statements)

References 6 publications

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“…Radiology showed a filling defect suspicious of neoplasm in most of the cases. [5][6][7] The clinical history was not significant even if systemic diseases, malformations, trauma, and drugs abuse such as analgesic or anticoagulative treatment could be related. 1,[8][9][10] The surgical treatment was radical nephrectomy in 25 cases, 11,12 partial nephrectomy in 2 cases, and pelvis plastic surgery in 1 case.…”

Section: Discussionmentioning

confidence: 99%

Subepithelial Pelvic Hematoma (Antopol—Goldman Lesion) Simulating Renal Neoplasm: Report of a Case and Review of the Literature

et al. 2009

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The Antopol-Goldman lesion is a subepithelial pelvic hematoma simulating a renal neoplasm. We report the clinico-pathological features of a single case and a review of the literature. A 76-year-old man presented with flank pain and hematuria. Computed tomography showed a hypodense lesion of 6 cm at the left kidney with filling defect at pyelogram. The patient underwent nephroureterectomy for suspected neoplasm. Macroscopically, a mass of 6 cm was present impinging on the pelvi-caliceal system. Microscopically, the lesion was composed by hemorragic material with feature of an hematoma. A diffuse eosinophilic amorphous material suspicious for amyloid was observed among intra- and extraparenchymal vessels. The Congo-Red staining verified the presence of amyloid. The diagnosis was subepithelial pelvic hematoma with severe amyloidosis. Antopol-Goldman lesion should be kept in mind as a possible differential diagnosis of upper urinary tract lesion to avoid unnecessary nephrectomies. The anamnestic knowledge of amiloydosis may increase this diagnostic hypothesis.

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Section: Discussionmentioning

confidence: 99%

Subepithelial Pelvic Hematoma (Antopol—Goldman Lesion) Simulating Renal Neoplasm: Report of a Case and Review of the Literature

et al. 2009

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“…The microscopic examination shows an area of submucosal hemorrhage and hematoma in organization, characterized by fibrinoid material containing extravasated fibroblasts and erythrocytes. The transitional epithelium may present focal ulcerations 8,9 with inflammatory reaction of particular interest to the lamina propria. The hemorrhagic extension can affect the entire pelvis, the major calyces, and even the proximal ureter.…”

Section: Commentmentioning

confidence: 99%