Ni Bei-Wen, Zhong Lu, Wang Ting, Chen Fang-Yuan
Department of Hematology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200125, P.R. China.
Exp Ther Med. 2014 Jun;7(6):1521-1524. doi: 10.3892/etm.2014.1658. Epub 2014 Apr 2.
A 38-year-old male was admitted to Renji Hospital (Shanghai, China) with the major complaint of back pain due to left hydronephrosis. Imaging analysis revealed an area of nodular soft-tissue density in the left ureteral wall. The patient's left kidney was non-functional. Thus, a left nephroureterectomy was performed for the purpose of pathological diagnosis, and histopathological examination revealed follicular lymphoma. The patient received R-CHOP chemotherapy (rituximab, cyclophosphamide, doxorubicin, vincristine and prednisolone) every three weeks. Following six courses of chemotherapy, positron emission tomography-computed tomography revealed that the patient was in complete remission. From this case we showed that in cases where a partial ureteral stenosis with ureteral wall thickening was observed by imaging analysis, further histological examination of tissue samples should be assigned as soon as possible.
一名38岁男性因左肾积水导致背痛为主诉入住上海仁济医院。影像学分析显示左输尿管壁有结节状软组织密度区。患者左肾无功能。因此,为进行病理诊断行左肾输尿管切除术,组织病理学检查显示为滤泡性淋巴瘤。患者每三周接受一次R-CHOP化疗(利妥昔单抗、环磷酰胺、阿霉素、长春新碱和泼尼松龙)。六个疗程化疗后,正电子发射断层扫描-计算机断层扫描显示患者完全缓解。从该病例我们表明,在影像学分析观察到部分输尿管狭窄伴输尿管壁增厚的情况下,应尽快对组织样本进行进一步组织学检查。