Clinical,radiographic manifestations and differential diagnosis of multiple renal hemangiomas:based on different renal functions
XU Ruomei
WU Zhifeng
WU Shan
GUO Dongqiang
Abstract：Objective To evaluate the clinical,pathological,and imaging characteristics of multiple renal hemangiomas in different renal functions,namely end-stage renal disease(ESRD)and non-ESRD.Methods A retrospective analysis was performed on 1 case of ESRD-related multiple renal hemangioma confirmed by surgery in Shanxi Bethune Hospital(Shanxi Academy of Medical Sciences)on April 2017.Additionally,23 cases of pathologically confirmed multiple renal hemangiomas patients from 1980 to 2023 were collected from the PubMed database.They were divided into the ESRD group and non-ESRD group according to renal function status.The clinical basic conditions,imaging features,treatment methods,and prognosis of the two groups were analyzed.Results The ESRD group included 19 cases(79.2%),and the non-ESRD group included 5 cases(20.8%).Males were more common.There were no statistically significant differences between the two groups in terms of age,gender,clinical symptoms,tumor side,location,and concomitant renal epithelial tumors(P>0.05).Extramedullary hematopoiesis was only observed in the ESRD group,with a statistically significant difference(P<0.05).Except for the 1 case in our hospital,5 patients were followed up for an average of 16 months,and no signs of tumor recurrence or metastasis were found.Conclusion Multiple renal hemangiomas are rare and mostly occur in the kidneys with ESRD.There were no significant differences in gender,age,clinical features,and imaging manifestations between multiple renal hemangiomas in ESRD and non-ESRD,but there were differences in extramedullary hematopoiesis.
Keywords：renal hemangiomasend-stage renal diseasecomputed tomographymagnetic resonance imaging
Publication Date：2025-09-20
Online Publishing Date：2025-10-22(First online date of this platform, not the publication date of the document)
Pages：6( 1093-1098 )