Kumar Varsha, Misra Vatsala, Chaurasiya Dilip, Verma Neelima
Department of Pathology, M. L. N. Medical College, Allahabad, Uttar Pradesh, India.
Indian J Pathol Microbiol. 2018 Jul-Sep;61(3):410-413. doi: 10.4103/IJPM.IJPM_849_16.
Cystic renal masses pose diagnostic challenge especially when they belong to Bosniak Type II and III. Septal and nodular enhancement on computed tomography (CT) is the strongest predictor of malignant process. A unilocular cyst with a calcified rim or a multilocular cystic lesion with heterogeneity on CT goes in favor of hydatid disease. We report a case in a 65-year-old female who presented with painless hematuria, was found to have a cystic mass in the right kidney. The mass turned out to be collecting duct carcinoma after histopathological examination though imaging studies were in favor of a hydatid cyst.
肾囊性肿块带来了诊断挑战，尤其是当它们属于博斯尼亚克II型和III型时。计算机断层扫描（CT）上的分隔和结节强化是恶性病变的最强预测指标。CT上边缘钙化的单房囊肿或具有异质性的多房囊性病变提示为包虫病。我们报告一例65岁女性病例，该患者出现无痛性血尿，经检查发现右肾有一个囊性肿块。尽管影像学检查提示为包虫囊肿，但组织病理学检查结果显示该肿块为集合管癌。
