Hagihara Masao, Hua Jian, Iwaki Yasunobu, Inoue Morihiro, Sato Teiko
Department of Hematology, Eiju General Hospital, Japan.
Intern Med. 2015;54(20):2655-9. doi: 10.2169/internalmedicine.54.3368. Epub 2015 Oct 15.
Primary renal lymphoma (PRL) is a rare disease which is often mistaken for renal cell carcinoma. In the present study, a 56-year-old man visited a clinic complaining of an intermittent fever and right flank pain. A computerized tomography examination revealed a hypoenhancing mass in his right kidney. Radical nephrectomy was conducted, and a diagnosis of diffuse large B-cell lymphoma was confirmed. The present case was determined to be a true PRL according to the results of a positron emission tomography examination and a bone marrow biopsy to rule out any lymphoma invasions apart from the right kidney.
原发性肾淋巴瘤(PRL)是一种罕见疾病,常被误诊为肾细胞癌。在本研究中,一名56岁男性因间歇性发热和右侧腰痛就诊于一家诊所。计算机断层扫描检查显示其右肾有一个强化减弱的肿块。进行了根治性肾切除术,确诊为弥漫性大B细胞淋巴瘤。根据正电子发射断层扫描检查结果和骨髓活检结果,排除了除右肾外的任何淋巴瘤侵犯,本病例被确定为真正的原发性肾淋巴瘤。