Archivos espanoles de urologia · 2002
[Stage II focal xanthogranulomatous pyelonephritis].
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Alonso Gracia Noelia, Griño Garreta Joan, Bielsa Gali Oscar, Gelabert-Mas Antoni
Аннотация
OBJECTIVE: To report a case of focalized stage II xanthogranulomatous pyelonephritis and the diagnostic difficulties encountered.
METHODS: A 63-year-old female consulted at the emergency services for fever during the last two months and right lumbar pain. Urinary cultures were negative. A CT scan showed a poorly-defined heterogeneous mass in the lower pole of the right kidney. Fine needle punction-aspiration biopsy was compatible with renal cell carcinoma. The patient underwent radical nephrectomy.
RESULTS: The histopathological study showed focalized stage II xanthogranulomatous pyelonephritis but no evidence of neoplasia.
CONCLUSIONS: Xanthogranulomatous pyelonephritis can mimic the clinical, cytological and imaging features of renal neoplasia.
METHODS: A 63-year-old female consulted at the emergency services for fever during the last two months and right lumbar pain. Urinary cultures were negative. A CT scan showed a poorly-defined heterogeneous mass in the lower pole of the right kidney. Fine needle punction-aspiration biopsy was compatible with renal cell carcinoma. The patient underwent radical nephrectomy.
RESULTS: The histopathological study showed focalized stage II xanthogranulomatous pyelonephritis but no evidence of neoplasia.
CONCLUSIONS: Xanthogranulomatous pyelonephritis can mimic the clinical, cytological and imaging features of renal neoplasia.