Uropathology

2020 Edition
| Editors: Maria Rosaria Raspollini, Antonio Lopez-Beltran

Subepithelial Hematoma of the Renal Pelvis

  • Maria Rosaria RaspolliniEmail author
  • Antonio Lopez-Beltran
Reference work entry
DOI: https://doi.org/10.1007/978-3-030-41894-6_4953
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Synonyms

Antopol-Goldman lesion

Definition

Subepithelial hematoma of pelvicalyceal system simulating clinically and radiologically a renal neoplasm (Levitt et al. 1984).

Clinical Features

  • Incidence

    Rare lesion, single case reported

  • Age

    Fifty to 70 years

  • Sex

    Reported in both sexes, mostly in females

  • Site

    Kidney, pelvicalyceal system

  • Treatment

    The lesion can be treated conservatively if suspected during the work-up of a renal pelvic mass.

  • Outcome

    Benign outcome

Macroscopy

Subepithelial hematoma of variable extension can occupy the renal pelvis and calices (Kim et al. 1997; Eccher et al. 2009).

Microscopy

Subepithelial hemorrhage arising in the pelvicalyceal system. The covering urothelium is unremarkable (Oza et al. 1996; Villar Pastor et al. 2000).

Differential Diagnosis

The presence of multiple renal hemangiomas may be identified as cause of the renal pelvic hematoma.

References and Further Reading

  1. Eccher, A., Brunelli, M., Gobbo, S., et al. (2009). Subepithelial pelvic hematoma (Antopol – Goldman lesion) simulating renal neoplasm: Report of a case and review of the literature. International Journal of Surgical Pathology, 17, 264–267.PubMedCrossRefGoogle Scholar
  2. Kim, S. J., Ahn, H. S., & Chung, D. Y. (1997). Subepithelial hematoma of the renal pelvis simulating neoplasm (Antopol-Goldman lesion). Urologia Internationalis, 59, 260–262.PubMedCrossRefGoogle Scholar
  3. Levitt, S., Waisman, J., & deKernion, J. (1984). Subepithelial hematoma of the renal pelvis (Antopol-Goldman lesion): A case report and review of the literature. The Journal of Urology, 131, 939–941.PubMedCrossRefGoogle Scholar
  4. Oza, K. N., Rezvan, M., & Moser, R. (1996). Subepithelial hematoma of the renal pelvis (Antopol-Goldman lesion). The Journal of Urology, 155, 1032–1033.PubMedCrossRefGoogle Scholar
  5. Villar Pastor, C. M., Lopez Beltran, A., Alvarez Kindelan, J., et al. (2000). Subepithelial hemorrhage of renal pelvis (Antopol Goldman lesion). Report of 4 cases and review of the literature. Actas Urologicas Españolas, 24, 805–809.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Maria Rosaria Raspollini
    • 1
    Email author
  • Antonio Lopez-Beltran
    • 2
    • 3
  1. 1.Histopathology and Molecular DiagnosticsUniversity Hospital CareggiFlorenceItaly
  2. 2.Pathology ServiceChampalimaud Clinical CenterLisbonPortugal
  3. 3.Unit of Anatomic Pathology, Department of SurgeryCordoba University Medical SchoolCordobaSpain