Krambeck Amy E, Miller Dylan V, Blute Michael L
Department of Urology, Mayo Clinic, Rochester, Minnesota 55901, USA.
Urology. 2005 Apr;65(4):798. doi: 10.1016/j.urology.2004.10.018.
Wegener's granulomatosis (WG) is a systemic disease well recognized by physicians. The upper and lower respiratory symptoms associated with the disease are easily recognized; however, its presentation as a solid renal mass is underappreciated. We present a case of a 61-year-old man who presented with a 5.2-cm renal mass diagnosed as WG after nephron-sparing surgery. The patient presented with mild symptoms suggestive of WG, but the antineutrophil cytoplasmic antibody test was negative. The renal mass and concerns about possible malignancy obscured the diagnosis of WG. This case illustrates that WG should be considered in the differential diagnosis of solid renal masses.
韦格纳肉芽肿（WG）是一种医生们熟知的全身性疾病。与该疾病相关的上、下呼吸道症状很容易识别；然而，它表现为实性肾肿块的情况却未得到充分认识。我们报告一例61岁男性患者，该患者在实施保留肾单位手术后，其5.2厘米的肾肿块被诊断为WG。患者表现出提示WG的轻微症状，但抗中性粒细胞胞浆抗体检测呈阴性。肾肿块以及对可能存在恶性肿瘤的担忧掩盖了WG的诊断。该病例表明，在实性肾肿块的鉴别诊断中应考虑WG。
