Lorentzen M, Nielsen H O
Scand J Urol Nephrol. 1980;14(2):193-200. doi: 10.3109/00365598009179560.
Evaluation of clinical, radiological and pathological data from 10 adult patients with xanthogranulomatous pyelonephritis has been carried out. There are no pathognomonic diagnostic features, but the majority of patients present with a previous history of recurrent urinary tract disorders. Obstruction and infection are essential pathogenetic factors, but it is suggested that immunologic factors are also play a part. The treatment is nephrectomy, as correct diagnosis cannot be established preoperatively, and as the condition is often misinterpreted as renal carcinoma. A definite diagnosis can only be obtained from pathologic examination with demonstration of the characteristic inflammatory xanthogranulomatous reaction.
对10例成人黄色肉芽肿性肾盂肾炎患者的临床、放射学和病理学资料进行了评估。本病无特征性诊断表现，但大多数患者有复发性尿路疾病史。梗阻和感染是重要的致病因素，但也提示免疫因素也起一定作用。治疗方法是肾切除术，因为术前无法做出正确诊断，而且该病常被误诊为肾癌。只有通过病理检查并显示出特征性的炎性黄色肉芽肿反应才能明确诊断。
