Alkhunaizi Ahmed M, Daabil Riyadh A, Dawamneh Mohammad F
Division of Internal Medicine, Dhahran Health Center, Dhahran, Kingdom of Saudi Arabia.
Saudi Med J. 2008 Dec;29(12):1808-10.
We report a 47-year-old male patient who developed acute kidney injury requiring hemodialysis, associated with massive enlargement of both kidneys. A part from intra-abdominal lymphadenopathy, there was no other organ or lymph node involvement. A kidney biopsy established the diagnosis of non-Hodgkin's lymphoma. The patient received chemotherapy with good response. This case demonstrates that the kidney could be the primary organ involved in non-Hodgkin's lymphoma. In addition, we have shown that renal biopsy is adequate to make a diagnosis of lymphoma without the need to do more invasive testing.
我们报告了一名47岁男性患者，他出现了需要血液透析的急性肾损伤，同时伴有双肾大量肿大。除腹腔淋巴结病外，无其他器官或淋巴结受累。肾活检确诊为非霍奇金淋巴瘤。患者接受化疗后反应良好。该病例表明，肾脏可能是非霍奇金淋巴瘤的主要受累器官。此外，我们还表明，肾活检足以诊断淋巴瘤，无需进行更多侵入性检查。
