Zomas A, Leivada A, Gortzolidis G, Michalis E, Skandalis A, Anagnostopoulos N I
Department of Clinical Haematology, G. Gennimatas Regional General Hospital of Athens, Athens, Greece.
Int J Hematol. 2004 May;79(4):361-3. doi: 10.1532/ijh97.e0320.
Primary renal lymphoma (PRL) is a rare form of extranodal non-Hodgkin's lymphoma often diagnosed and treated by oncologists and urologists. Pathophysiological and clinical data on PRL are sparse, but the limited reported experience suggests the disease usually has an ominous outcome. As in other renal tumors, comprehensive radiological investigations have a central role in the recognition and final diagnosis of PRL. We describe the presenting features and clinical course of an elderly woman who was found to have PRL after evaluation for persistent low-grade fever. Diagnostic and therapeutic caveats are discussed on the basis of a critical literature review of case reports and descriptions of small series of patients.
原发性肾淋巴瘤(PRL)是一种罕见的结外非霍奇金淋巴瘤,通常由肿瘤学家和泌尿科医生进行诊断和治疗。关于PRL的病理生理和临床数据稀少,但有限的报道经验表明该疾病通常预后不佳。与其他肾肿瘤一样,全面的影像学检查在PRL的识别和最终诊断中起着核心作用。我们描述了一名老年女性的临床表现和临床病程,她在因持续低热接受评估后被发现患有PRL。在对病例报告和小系列患者描述进行批判性文献综述的基础上,讨论了诊断和治疗方面的注意事项。