Zhao Kai, Zhang Qijie, Cong Rong, Wang Yamin, Wang Zengjun, Song Ninghong
Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
AME Case Rep. 2020 Apr 30;4:8. doi: 10.21037/acr.2019.12.03. eCollection 2020.
Although renal involvement is common in non-Hodgkin's lymphoma (NHL), primary renal NHL is a rare disease. Diffuse large B-cell lymphoma (DLBCL) is the most common subtype of NHL and is responsible for 30-40% of adult NHL cases globally. Here, we present a case of a 68-year-old man with right flank pain who underwent retroperitoneal laparoscopic radical nephrectomy for an enlarged right kidney, with evidence of an infiltrating mass. Postoperative histopathological examination revealed primary renal DLBCL. Primary renal lymphoma (PRL) is quite rare, and clinicians should try to ensure early diagnosis and treatment with standardized and systematic chemotherapy.
尽管肾脏受累在非霍奇金淋巴瘤（NHL）中很常见，但原发性肾脏NHL是一种罕见疾病。弥漫性大B细胞淋巴瘤（DLBCL）是NHL最常见的亚型，在全球成人NHL病例中占30%-40%。在此，我们报告一例68岁男性，因右侧腰痛就诊，因右肾肿大接受腹膜后腹腔镜根治性肾切除术，术中发现有浸润性肿块。术后组织病理学检查显示为原发性肾脏DLBCL。原发性肾脏淋巴瘤（PRL）非常罕见，临床医生应努力确保早期诊断，并采用标准化、系统化化疗进行治疗。
