Taguchi Isao, Terakawa Tomoaki, Tsunemori Hiroyuki, Imanishi Osamu, Yamanaka Nozomu, Kondo Takeshi, Ito Rieko
Division of Urology, Shinko Hospital.
Nihon Hinyokika Gakkai Zasshi. 2007 Nov;98(7):839-42. doi: 10.5980/jpnjurol1989.98.839.
Malacoplakia is a relatively rare form of chronic granulomatous inflammation. Which occurs most frequently in the genito-urinary system, but renal parenchymal involvement is rare. We present a case of malacoplakia of the renal parenchyma. A 69-year-old woman with left renal mass was referred to our department. Abdominal enhanced CT scan revealed heterogeneous mass in the left kidney (50 x 45 mm). CT-guided percutaneous left renal needle biopsy confirmed the diagnosis of renal malakoplakia. We successfully treated her with oral levofloxacin. The lesion resolved after the 4-months-therapy, and there has been no recurrence for 22 months since the treatment.
软斑病是一种相对罕见的慢性肉芽肿性炎症。它最常发生于泌尿生殖系统,但累及肾实质的情况罕见。我们报告一例肾实质软斑病病例。一名69岁的左侧肾肿物女性患者被转诊至我科。腹部增强CT扫描显示左肾有一不均匀肿物(50×45毫米)。CT引导下经皮左肾穿刺活检确诊为肾软斑病。我们用口服左氧氟沙星成功治疗了她。经过4个月的治疗,病变消退,自治疗后22个月未复发。