Surgical Curative Approach for Severe Hypertension in Select Patients With Underrecognized Rare Renal Tumors: A Case Report.
Publication/Presentation Date
1-1-2025
Abstract
Juxtaglomerular cell tumors (JCTs), also known as reninomas, are rare masses with an extremely low risk of malignancy, but their endocrine activity can lead to medication-resistant hypertension and electrolyte imbalances, which may harm patients. Approximately 150 cases have been documented in the literature. In this report, we describe the case of a 40-year-old male with a complex cystic renal mass, prior hemorrhagic strokes, and hypertension who underwent surgical resection. The final pathology confirmed a JCT, marking the first case on record diagnosed at our institution in 20 years. Following surgery, the patient's hypertension improved, and his need for medication decreased. We suggest that physicians managing renal masses that are otherwise suitable for surveillance should include JCT in their differential diagnosis and consider surgical removal if hypertension is present.
Volume
2025
First Page
8149819
Last Page
8149819
ISSN
2090-696X
Published In/Presented At
McGreal NK, Winnegrad ZD, Diorio GJ, Gefen R, Birbe RC, Arriola AGP. Surgical Curative Approach for Severe Hypertension in Select Patients With Underrecognized Rare Renal Tumors: A Case Report. Case Rep Urol. 2025 Sep 15;2025:8149819. doi: 10.1155/criu/8149819. PMID: 40989803; PMCID: PMC12453918.
Disciplines
Medicine and Health Sciences
PubMedID
40989803
Department(s)
Department of Surgery
Document Type
Article