A Rare Presentation of Primary Renal Lymphoma Simulating Renal Cell Carcinoma (original) (raw)
Related papers
A CASE REPORT OF PRIMARY RENAL LYMPHOMA
2017
Primary renal lymphoma (PRL) is defined as a non-Hodgkin's lymphoma arising primarily in the renal parenchyma, not resulting from invasion of an adjacent node or lymphomatous mass. It is much more common for kidneys to be an involved extra-nodal organ site in other lymphomas; perhaps just 3 to 8 percent of the time that the kidney is involved in lymphomas, it is a PRL. In lymphoma circles, PRL is considered a controversial disease, meaning that not everyone agrees that it exists, since the kidneys are not lymphoid organs. We present a case of 56 years old male patient who presented with bilateral multiple renal masses and was diagnosed to have primary renal lymphoma.
An Unusual Case of Primary Bilateral Renal Lymphoma: A Case
2014
Primary renal lymphoma (PRL) is rare. They are variants of extranodal non-Hodgkins lymphoma. Lymphomatous involvement of the kidney is often seen as a part of disseminated disease. PRL can mimic other renal lesions such as renal cell carcinoma, renal abscess, and metastasis and may have aggressive clinical course. Pathological data are scanty and prognosis is usually poor with median survival less than a year. We present a rare case of a 22 year-old male who presented with acute febrile illness, respiratory problems and acute kidney injury. The clinical diagnosis was missed partly due to absence of obvious renal symptoms like renal mass lesion, gross hematuria or abdominal pain. However, radiological investigations combined with renal histology helped in establishing the diagnosis in the present case.
A Young Man with Left Renal Mass – A Case of Primary Renal Lymphoma
Journal of Medicine, 2011
Renal involvement in lymphoma is not very uncommon but primary renal lymphoma is very rare and prognosis is poor. A 20 years male presented with localized, dull, constant pain and progressive swelling in left upper abdomen. He also gave history of significant weight loss. Examination findings revealed that he was anaemic, left kidney was hugely enlarged and hepatomegaly. Initially it seemed to be a case of renal cell carcinoma. But after doing invasive investigations it was proved to be a case of lymphoma, which considering all clinical and laboratory findings was diagnosed as a case of primary renal lymphoma. Keywords: Young man, Primary, Renal mass, Lymphoma DOI: http://dx.doi.org/10.3329/jom.v12i2.8424 JOM 2011; 12(2): 174-176
Primary lymphoma of the kidney
Saudi Medical Journal
Histopathological and immunohistochemical slides were reviewed, and additional immunohistochemistry stains were carried out in selected cases. Follow-up data were also collected. Original Article Results: There were 17 identified cases of PRL. The age of the patients ranged from 4-76 years)median: 50.5 years and mean: 46.8 years(, 11)64.7%(were males, and 6)35.3%(were females. There were 12 cases of diffuse large B-cell lymphoma, 3 cases of Burkitt's lymphoma, and 2 cases of post-transplant lymphoproliferative disorder. The median follow-up duration was 22 months. The one-year overall survival rate was 71% and the 2-year overall survival rate was 43% during follow-up. Conclusion: Primary renal lymphomas in Saudi patients are more common in males and seen in a relatively younger age group compared to the available worldwide data. The diagnosis of PRL is important to avoid tumor dissemination and unnecessary nephrectomy. Diffuse large B-cell lymphoma is the most common pathological type and non-germinal center B-cell is the most common subtype.
Imaging features of primary renal lymphoma
Acta Radiologica, 2017
Background Cases of primary renal lymphoma (PRL) are quite rare and are often mistaken for renal cell carcinoma. Purpose To determine the multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) characteristics of PRL. Materials and Methods Twenty-three patients with PRL were identified by CT and MRI, and their tumor characteristics were assessed. Results Tumors exhibited single or multifocal nodules (n = 19) and diffuse renal enlargement (n = 4). Twenty-two tumors exhibited an infiltrative appearance. There was no evidence of calcification in any of the cases. Twenty-one tumors displaced or wrapped around abdominal vessels rather than encasing them. Enlarged retroperitoneal nodes were observed in three cases. Neither extension into the venous system nor distant metastasis was found. Tumor enhancement was of low attenuation compared with that of normal renal cortex and medulla ( P
Primary Lymphoma of the Kidney in an Adult Male – The First Reported Case from Iran
Case Reports in Oncology, 2010
We report a case of primary renal lymphoma in a 48-year-old man. He was admitted with a large homogenous right renal mass that was revealed by computed tomography scan of the abdomen and pelvis. The patient underwent transperitoneal right radical nephrectomy. Pathologic diagnosis was in favor of primary renal lymphoma.
Primary Renal Lymphoma- A Case Report
2008
Primary renal Non-Hodgkin’s lymphoma is rare. Renal involvement though common in disseminated Non-Hodgkin’s lymphoma (NHL), the incidence of extra nodal primary renal non-Hodgkin’s lymphoma is less than 1%. An elderly, immunocompetant, chronic alcoholic male symptomatic since one month was presented with acute abdominal pain with fever and acute renal failure. The provisional diagnosis both clinically and radiologically was liver abscesses with enlarged bright kidneys. On the complete autopsy examination, diagnosis of primary renal lymphoma with liver metastasis was made. Also an incidental finding of microfilariae of Wuchereria bancrofti was noted.
International Surgery Journal
The secondary renal involvement of non-Hodgkin lymphoma is frequently encountered but primary renal lymphoma is extremely rare in children. We hereby present a rare case of primary renal diffuse lymphoma in a 3-year-old girl child who presented with bilateral renal masses. The tumour was initially diagnosed as bilateral Wilms’ tumour but on biopsy, it turned out to be non-Hodgkin's lymphoma. Primary renal lymphoma is an aggressive tumour with guarded prognosis. There are a variety of diseases which present as renal masses in children amongst which primary renal lymphoma is extremely rare. This article describes the clinical features and diagnostic features of primary renal lymphoma. Our report highlights the importance of keeping this neoplastic condition under consideration while evaluating children with renal mass .In order to distinguish primary renal lymphoma from other renal tumours, the authors have also described the clinical, imaging and pathological features of various...