Dufau J P, Patte J H, Ceccaldi B, Fagot T, Sylvestre A, Le Vagueresse R
Service d'Anatomie Pathologique, Hôpital Percy, Clamart.
Ann Pathol. 2000 May;20(3):253-7.
Primary renal non-Hodgkin's lymphoma (NHL) is unusual, in contrast to the frequent renal involvement in disseminated NHL. We report a case of follicular lymphoma presenting initially as a renal mass. In the literature, twenty-seven similar cases have been described since 1980. The median age at diagnosis is 64 years with a male predominance. Clinical and radiological findings generally evoke renal carcinoma. Histologically, tumors are usually large B-cell lymphomas. The existence of renal non-Hodgkin lymphoma mimicking renal carcinoma must be recognized. Such lymphomas can either be primitive or be nodal with a renal presentation. Nephrectomy followed by chemotherapy permits long disease free survival.
原发性肾非霍奇金淋巴瘤（NHL）较为罕见，这与播散性NHL中常见的肾脏受累情况形成对比。我们报告一例最初表现为肾脏肿块的滤泡性淋巴瘤病例。自1980年以来，文献中已描述了27例类似病例。诊断时的中位年龄为64岁，男性居多。临床和影像学表现通常提示肾癌。组织学上，肿瘤通常为大B细胞淋巴瘤。必须认识到存在模仿肾癌的肾非霍奇金淋巴瘤。此类淋巴瘤既可以是原发性的，也可以是伴有肾脏表现的淋巴结性淋巴瘤。肾切除术后进行化疗可实现长期无病生存。
