Leppäniemi A, Wuokko E, Taavitsainen M, Nordling S, Lehtonen T
Department of Diagnostic Radiology, University Central Hospital, Helsinki, Finland.
Ann Chir Gynaecol. 1987;76(4):226-9.
A 34-year-old woman with xanthogranulomatous pyelonephritis mimicking a renal tumour is presented. Preoperative examinations including renal ultrasonography, computed tomography, renal angiography and fine needle biopsy could not exclude malignancy. The diseased kidney had good function and there was no history or signs of urinary tract infection or calculi. During operation a frozen section biopsy showed xanthogranulomatous pyelonephritis and a kidney-saving enucleation of the tumour was performed. The patient recovered uneventfully with good kidney function on the operated side.
本文报道了一名34岁的女性,其患有模仿肾肿瘤的黄色肉芽肿性肾盂肾炎。包括肾脏超声、计算机断层扫描、肾血管造影和细针活检在内的术前检查均不能排除恶性肿瘤。患侧肾脏功能良好,且无尿路感染或结石病史及体征。手术中,冰冻切片活检显示为黄色肉芽肿性肾盂肾炎,并对肿瘤进行了保留肾脏的摘除术。患者术后恢复顺利,患侧肾功能良好。