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免疫功能正常患者的原发性肾淋巴瘤。

Primary renal lymphoma in an immunocompetent patient.

作者信息

Abdi El Mostapha, Afifi Mahmoud Al, Moataz Amine, Dakir Mohamed, Debbagh Adil, Aboutaieb Rachid

机构信息

CHU Ibn Rochd, Casablanca, Morocco.

出版信息

Urol Case Rep. 2022 Jun 25;44:102140. doi: 10.1016/j.eucr.2022.102140. eCollection 2022 Sep.

DOI:10.1016/j.eucr.2022.102140
PMID:35812464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9256817/
Abstract

Renal lymphoma is rarely primary, but its diagnosis is critical because it requires specialized medical treatment. We present the case of a 59-year-old man who was admitted to the hospital for a painful left renal mass revealed by isolated chronic low back pain. A clinical examination revealed left lumbar tenderness. A non-lymphoma Hodgkin's type B was discovered during a renal biopsy. As part of the extension workup, a PET scan was performed, which revealed no secondary location, and the patient underwent chemotherapy. Following the start of chemotherapy, a complete remission was observed, as well as a reduction in the size of the kidney.

摘要

肾淋巴瘤很少是原发性的,但其诊断至关重要,因为它需要特殊的医学治疗。我们报告一例59岁男性患者,因孤立性慢性下腰痛发现左侧肾部肿物而入院。临床检查发现左侧腰部压痛。肾活检发现为B型非霍奇金淋巴瘤。作为分期检查的一部分,进行了PET扫描,结果显示无继发部位,该患者接受了化疗。化疗开始后,观察到完全缓解,且肾脏体积缩小。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ee/9256817/72598056981f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ee/9256817/78598e146740/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ee/9256817/0325efe1a414/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ee/9256817/72598056981f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ee/9256817/78598e146740/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ee/9256817/0325efe1a414/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42ee/9256817/72598056981f/gr3.jpg

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Clin Nucl Med. 2009 Oct;34(10):722-4. doi: 10.1097/RLU.0b013e3181b53a59.
2
Acute renal failure and bilateral kidney infiltration as the first presentation of non-Hodgkin lymphoma.急性肾衰竭和双侧肾脏浸润作为非霍奇金淋巴瘤的首发表现。
Iran J Kidney Dis. 2009 Jan;3(1):50-3.
3
[Lymphoma with initial renal involvement: four cases].[首发肾脏受累的淋巴瘤:4例报告]
Rev Med Interne. 2006 Dec;27(12):909-15. doi: 10.1016/j.revmed.2006.07.015. Epub 2006 Aug 18.
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Acute renal failure caused by renal infiltration by hematolymphoid malignancy.
Ann Diagn Pathol. 2006 Aug;10(4):230-4. doi: 10.1016/j.anndiagpath.2005.09.015.
5
Primary renal non-Hodgkins lymphoma presenting with acute renal failure.以急性肾衰竭为表现的原发性肾非霍奇金淋巴瘤
J Natl Med Assoc. 2003 Mar;95(3):220-4.