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De Oliveira MJA et al. – The authors report a case of a suspected complex renal cyst. Ultrasonography, computed tomography and magnetic resonance were unable to rule out malignancy. The patient underwent nephrectomy, and histology revealed a renal sinus hemangioma without relation to parenchyma.

Exclusive Author Commentary
Mário Jorge Alves de Oliveira, 09/03/09

The correct preoperative diagnosis of renal sinus hemangiomas is particularly difficult. Given the fact that these rare benign vascular neoplasms may often be managed expectantly, the major challenge is to distinguish them from malignant lesions of renal parenchyma and urothelium. Herein we report a fourth case and discuss the available data concerning this rare neoplasm.

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