Elder J S, Marshall F F
Johns Hopkins Med J. 1980 Apr;146(4):141-7.
In adults with xanthogranulomatous pyelonephritis (XGP) focal involvement occurs in 17% Of patients and the remainder have diffuse involvement of the kidney. Most patients are in the fourth and fifth decades. There appears to be a predilection for the left kidney, and 60% of patients will have a positive urine culture. Radiographically, a poorly-functioning, hypovascular renal mass is seen. The clinical and pathological presentations of focal XGP can closely resemble clear-cell renal cell carcinoma, but partial nephrectomy is the preferred treatment for this inflammatory disorder. We discuss three adults with focal XGP who have been treated at The Johns Hopkins Hospital in the past 2 1/2 years.
在患有黄色肉芽肿性肾盂肾炎（XGP）的成人中，17%的患者出现局灶性受累，其余患者则为肾脏弥漫性受累。大多数患者年龄在四十和五十岁之间。似乎左肾更易受累，60%的患者尿培养呈阳性。影像学检查可见功能不良、血供减少的肾肿块。局灶性XGP的临床和病理表现可能与透明细胞肾细胞癌极为相似，但对于这种炎症性疾病，部分肾切除术是首选治疗方法。我们讨论了过去两年半内在约翰霍普金斯医院接受治疗的三名患有局灶性XGP的成人患者。
