title: Mucinous tubular and spindle cell carcinoma of the kidney: a rare case diagnosed in the early postpartum.
abstract: A 27-year-old women requesting assistance for an unspecified abdominal pain localized in the right flank that worsened after a recent delivery was discovered to have a solid mass in the upper pole of her right kidney. Radiological findings showed benign characteristics but without a clear diagnosis. Subsequently, a laparotomic nephron-sparing enucleation of a solid, encapsulated, brownish-white mass, localized in the cortical portion of the upper kidney pole, was performed. Pathological examination of the specimen showed a rare mucinous tubular and spindle cell carcinoma with an almost total mucinous component. To our knowledge, this is the first case of this disease discovered during pregnancy or puerperium. A multidisciplinary approach should be mandatory in order to correctly recognize and treat such a rare disease and to avoid administration of excessive adjuvant treatment to patients with a low-grade malignancy during pregnancy or puerperium.
authors.affiliation: Ospedale Civile di Latisana, Latisana (UD), Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Sorrentino
authors.affiliation: Ospedale Civile di Latisana, Latisana (UD), Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Bernardi
authors.affiliation: Ospedale Civile di Latisana, Latisana (UD), Italy.
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Bruschi
authors.affiliation: Ospedale Civile di Latisana, Latisana (UD), Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Scannavacca
authors.affiliation: Ospedale Civile di Latisana, Latisana (UD), Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Brizzolari
authors.affiliation: Ospedale Civile di Latisana, Latisana (UD), Italy.
authors.forename: Fioralba
authors.initials: F
authors.lastname: Hysko
authors.affiliation: Ospedale Civile di Latisana, Latisana (UD), Italy.
authors.forename: Palmina
authors.initials: P
authors.lastname: Cataldi
authors.affiliation: University of Udine, AOU "Santa Maria della Misericordia," Udine, Italy.
authors.forename: Ambrogio P
authors.initials: AP
authors.lastname: Londero
authors.affiliation: University of Udine, AOU "Santa Maria della Misericordia," Udine, Italy sere_d.estate@libero.it.
authors.forename: Serena
authors.initials: S
authors.lastname: Bertozzi
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000473:pathology*; D000328:Adult; D002277:Carcinoma / Q000473:pathology*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology*; D049590:Postpartum Period; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology
keywords: kidney; mucinous tubular and spindle cell carcinoma; pregnancy; puerperium