Hinaut R, Brendel J A
J Radiol. 1986 Aug-Sep;67(8-9):579-82.
Xanthogranulomatous pyelonephritis may, rarely, occur as a renal tumour syndrome (simulating mainly a renal cell carcinoma). We report one case. The diagnosis is often difficult (even with surgical findings) and frequently a histological surprise. This points out the importance of identifying it in preoperative staging; the diagnosis may be suggested by the association of chronic pyelonephritis, renal stones and hypovascular renal tumour syndrome without specificity at sonography and CT.
黄色肉芽肿性肾盂肾炎极少情况下可能作为一种肾肿瘤综合征出现(主要类似肾细胞癌)。我们报告一例。诊断往往困难(即使结合手术所见),且常常在组织学检查时令人意外。这凸显了在术前分期中识别它的重要性;慢性肾盂肾炎、肾结石及肾肿瘤综合征伴低血供在超声和CT检查中缺乏特异性,这些表现可能提示该诊断。