Thawani Rajat, Amar Amarendra, Patowary Jayanta, Kaul Sumaid, Jena Amarnath, Das Pratap Kishore
Internal Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Department of Hematology and Oncology, Indraprastha Apollo Hospitals, New Delhi, India.
Indian J Med Paediatr Oncol. 2017 Oct-Dec;38(4):545-547. doi: 10.4103/ijmpo.ijmpo_167_16.
The symptoms of primary renal lymphoma (PRL) may mimic a renal cell carcinoma. Since the diagnosis is mostly after a radical nephrectomy, we recommend a percutaneous biopsy or cytology from the renal mass in patients who have features suggestive of a lymphoma. A magnetic resonance imaging may give an image more specific for a lymphoma. There are no clinical trials for the treatment of PRL, but all previously published case reports used R-CHOP and a few patients did better than the median survival of 6 months.
原发性肾淋巴瘤（PRL）的症状可能与肾细胞癌相似。由于大多在根治性肾切除术后才得以诊断，我们建议对具有淋巴瘤特征的患者进行经皮肾肿块活检或细胞学检查。磁共振成像可能会给出更具淋巴瘤特异性的图像。目前尚无针对PRL治疗的临床试验，但所有先前发表的病例报告均采用R-CHOP方案，少数患者的生存期优于6个月的中位生存期。
