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肾集合管癌:伪装成泌尿生殖系统结核——经验教训

Collecting duct carcinoma of kidney: Masquerading as genitourinary tuberculosis - Lessons learnt.

作者信息

T Mathisekaran, Raghavan Deepak, Muthu Ranjanee, Prabhakar Vikram, Prakash Sanjay

机构信息

Apollo Main Hospital, Department Of Urology, 21, Greams Lane, Off Greams Road, Chennai, 600006, Tamilnadu, India.

Apollo Main Hospital, Department Of Erology, 21, Greams Lane, Off Greams Road, Chennai, India.

出版信息

Urol Case Rep. 2019 Dec 13;29:101100. doi: 10.1016/j.eucr.2019.101100. eCollection 2020 Mar.

Abstract

We present a case of Collecting duct of Bellini carcinoma (CDC) which was masquerading as Genitourinary Tuberculosis/chronic granulomatous disease in a 43 year old women, who presented with complaints of low grade fever, loss of appetite, left loin pain and dyspnoea with recent onset of haemoptysis. After extensive evaluation, she was referred to urology where she underwent a laparoscopic assisted open left radical nephrectomy which was reported to be Collecting duct carcinoma.This case is being presented for the diagnostic dilemma it elicited throughout the evaluation.

摘要

我们报告一例43岁女性的贝利尼集合管癌(CDC),该病例最初被误诊为泌尿生殖系统结核/慢性肉芽肿病,患者表现为低热、食欲不振、左腰部疼痛、呼吸困难并伴有近期咯血。经过全面评估后,她被转诊至泌尿外科,接受了腹腔镜辅助下的开放性左肾根治性切除术,术后病理报告为集合管癌。本文旨在呈现该病例在整个评估过程中引发的诊断困境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6905/6928284/a789ae1fb834/gr1.jpg

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