scholarly journals Xanthogranulomatous pyelonephritis (XGPN) mimicking a “renal cell carcinoma with renal vein thrombus and paracaval lymphadenopathy”

F1000Research ◽  
2013 ◽  
Vol 2 ◽  
pp. 263 ◽  
Author(s):  
Arvind Ganpule ◽  
Jitendra Jagtap ◽  
Sanika Ganpule ◽  
Amit Bhattu ◽  
Shailesh Soni ◽  
...  

We present a case of Xanthogranulomatous pyelonephritis mimicking as a renal cell carcinoma. This was an elderly lady who presented with pyonephrosis due to urolithiasis. On evaluation she was found to have a space occupying mass in the right kidney. Further investigations revealed an enhancing tumor with renal vein thrombus and paracaval lymphadenopathy. Subsequent histopathology showed evidence of XGPN with no malignancy. This case report highlights the fact there are a number of imaging and clinical overlaps in the diagnosis, assessment and management of this entity.

2020 ◽  
Vol 8 (34) ◽  
pp. 52-55
Author(s):  
Ryan Dean ◽  
Ganesh Maniam ◽  
Thien Vo

While hematogenous spread of renal cell carcinoma (RCC) is common, isolated extension into the renal vein and inferior vena cava (IVC) is rare and extension to the right atrium is even less likely. In the case, a 62-year-old Hispanic female was admitted for a suspected inferior myocardial infarction, and her echocardiogram revealed a right atrial mass consistent with the appearance of an atrial myxoma. Following cardiac catheterization, a histopathological examination of the mass revealed a clear cell tumor consistent with metastatic clear cell RCC. Following a CABG with excision of the atrial mas, the CT demonstrated a 5 cm right lower pole renal mass with hilar involvement, as well as filling defects in the IVC extending into the right renal vein; these findings were consistent with RCC tumor thrombus extension into the renal vein, IVC, and right atrium. The radical nephrectomy necessary for tumor removal could not be performed at this hospital, so the patient was discharged to a higher level of care. The incidence rate for RCC with extension into the right atrium is quite low, but clinicians should understand the lethality of RCC warrants immediate clinical investigation upon diagnosis. The increased utilization of sophisticated imaging modalities will likely continue to increase the rate of incidental discovery of such neoplasms, and physicians should keep RCC on the differential when a right atrial mass is discovered incidentally on echocardiogram.


CASE ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 274-277
Author(s):  
Ahmed Abdelfattah ◽  
Mohamed El Wazir ◽  
Yehia Z. Ali ◽  
Jwan Naser ◽  
Brandon M. Wiley

2008 ◽  
Vol 32 (1) ◽  
pp. 159-160 ◽  
Author(s):  
JUNG-HO LEE ◽  
PAIK-KWON LEE ◽  
SANG-TAE AHN ◽  
DEUK-YOUNG OH ◽  
JONG-WON RHIE ◽  
...  

2010 ◽  
Vol 140 ◽  
pp. S76-S77
Author(s):  
Ugur Canpolat ◽  
Banu Evranos ◽  
Sercan Okutucu ◽  
Hikmet Yorgun ◽  
Ergun Baris Kaya ◽  
...  

2006 ◽  
Vol 92 (6) ◽  
pp. 549-551 ◽  
Author(s):  
Antonio Manzelli ◽  
Piero Rossi ◽  
Adriano De Majo ◽  
Giorgio Coscarella ◽  
Iwona Gacek ◽  
...  

In this paper, we describe a case of a 73-year old female with late skeletal muscle metastases from a clear-type renal cell carcinoma 8 years after total nephrectomy. The metastases were located in the right femoral quadriceps, in the sartorius muscle and adductor magnus muscle. A full clinical work-up was performed with blood examinations, radiological and pathological assessment. A complete surgical resection with a wide margin was performed for all lesions, and the final pathological report deposed for metastatic renal carcinoma clear-type cells. In this case report, we discuss the crucial rule of accurate radiological and pathological assessment and aggressive surgical management.


2020 ◽  
Vol 34 ◽  
pp. 205873842093161
Author(s):  
Xi Xie ◽  
Ning Wang ◽  
Jingjing Xiang ◽  
Huadong He ◽  
Xuliang Wang ◽  
...  

We presented the clinical data of one patient with renal cell carcinoma associated with idiopathic thrombocytopenic purpura in this case report. We reported a 56-year-old man who presented with petechiae and ecchymoses. Laboratory studies showed the platelet count of 2 × 109/L and an abdominal computed tomography (CT) scan revealed tumors in the right renal. There were purpura on the legs and cough without abdominal pain and melena at this time. Idiopathic thrombocytopenic purpura was diagnosed according to the clinical symptoms and laboratory test. The patient received radical nephrectomy for renal carcinoma, and his idiopathic thrombocytopenic purpura was cured after the surgery. Pathological biopsy confirmed it was renal clear cell carcinoma. The patient has been followed up for more than 3 months after surgery, and the ecchymoses had not been recurred and the patient’s thrombocytopenia was recovered. Idiopathic thrombocytopenic purpura associated with kidney cancer is rare. The patient in this case report was treated with radical nephrectomy, and the effectiveness of idiopathic thrombocytopenic purpura was satisfactory.


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