伪装成肾感染的肾髓质癌：一例报告。
Renal medullary carcinoma masquerading as renal infection: a case report.
作者信息
Huang Zhong-Ming, Wang Hai, Ji Zhi-Gang
机构信息
Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, No.1 Shuaifuyuan Wangfujing, Dongcheng, Beijing, 100730, China.
出版信息
BMC Nephrol. 2020 Mar 5;21(1):79. doi: 10.1186/s12882-020-01730-y.
BACKGROUND
Renal medullary carcinoma is a rare and aggressive tumor and often seen in young adults with sickle cell hemoglobinopathies.
CASE PRESENTATION
We report a case of renal medullary carcinoma in a 29-year old male patient with an occupying renal lesion who presented with fever, flank pain and hematuria. The patient received intensive antibiotics treatment, but no improvement was seen. The symptoms disappeared after laparoscopic radical left nephrectomy. Postoperative pathological study showed that the mass was renal medullary carcinoma.
CONCLUSIONS
Our case suggests that renal medullary carcinoma should be considered in differential diagnoses of patients with occupying renal lesions who have fever of unknown origin.
背景
肾髓质癌是一种罕见且侵袭性强的肿瘤，常见于患有镰状细胞血红蛋白病的年轻成年人。
病例报告
我们报告一例29岁男性肾髓质癌患者，该患者有肾脏占位性病变，表现为发热、胁腹痛和血尿。患者接受了强化抗生素治疗，但未见改善。经腹腔镜根治性左肾切除术后症状消失。术后病理研究显示肿块为肾髓质癌。
结论
我们的病例表明，对于不明原因发热且有肾脏占位性病变的患者，鉴别诊断时应考虑肾髓质癌。
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