Bell N D, Gavras J N, Donnell C A, Rodning C B
Department of Pathology, University of South Alabama College of Medicine and Medical Center, Mobile 36617, USA.
South Med J. 1998 Nov;91(11):1050-3. doi: 10.1097/00007611-199811000-00012.
A previously healthy 37-year-old man had evaluation of abdominal pain, which had persisted after abrupt onset with fever and hematuria. Although the fever and hematuria had spontaneously resolved after 1 week, the abdominal pain had worsened over a 4-month period. Predicated upon computed tomography and with a presumed diagnosis of renal cell adenocarcinoma, left radical nephrectomy was done. Histopathologic analysis was negative for malignancy but compatible with inflammatory pseudotumor of the urogenital tract--a pathologic entity that is common in the urinary bladder and prostate gland but is rarely diagnosed in the kidney.
一名37岁既往健康的男性因腹痛接受评估，腹痛在突然发作并伴有发热和血尿后持续存在。尽管发热和血尿在1周后自行缓解，但腹痛在4个月内逐渐加重。基于计算机断层扫描结果并推测诊断为肾细胞腺癌，遂行左肾根治性切除术。组织病理学分析显示无恶性肿瘤，但与泌尿生殖道炎性假瘤相符——这是一种在膀胱和前列腺中常见但在肾脏中很少被诊断出的病理实体。
