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Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review

INTRODUCTION: Primary renal lymphoma is a rare malignant lymphoma that is difficult to differentiate from renal cell carcinoma. Positron emission tomography/computed tomography and image-guided percutaneous biopsy are valuable tools for diagnosis. CASE REPORT: A 64-year-old woman presented with a 2-...

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Detalles Bibliográficos
Autores principales: Cheng, Xu, Huang, Zhichao, Li, Daiqiang, Wang, Yinhuai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567734/
https://www.ncbi.nlm.nih.gov/pubmed/31066322
http://dx.doi.org/10.1177/0300060519842049
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author Cheng, Xu
Huang, Zhichao
Li, Daiqiang
Wang, Yinhuai
author_facet Cheng, Xu
Huang, Zhichao
Li, Daiqiang
Wang, Yinhuai
author_sort Cheng, Xu
collection PubMed
description INTRODUCTION: Primary renal lymphoma is a rare malignant lymphoma that is difficult to differentiate from renal cell carcinoma. Positron emission tomography/computed tomography and image-guided percutaneous biopsy are valuable tools for diagnosis. CASE REPORT: A 64-year-old woman presented with a 2-year history of repeated right waist pain and a 1-month history of nausea, vomiting, and frequent and urgent urination. A computed tomography scan showed a huge mass that was initially considered to be renal cell carcinoma at the upper pole of the right kidney. The mass had invaded the renal pelvis, narrowed the right renal artery, and constricted the inferior vena cava and liver. Postoperative examination of the tumor confirmed lymphoma. We herein present this case and its multidisciplinary team management. CONCLUSION: Multidisciplinary team management is efficient for preoperative assessment and surgery in difficult and high-risk cases. Based on our literature review, we suggest biopsy before chemotherapy whenever possible. Chemotherapy can be implemented after surgery for better survival outcomes.
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spelling pubmed-65677342019-06-20 Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review Cheng, Xu Huang, Zhichao Li, Daiqiang Wang, Yinhuai J Int Med Res Case Reports INTRODUCTION: Primary renal lymphoma is a rare malignant lymphoma that is difficult to differentiate from renal cell carcinoma. Positron emission tomography/computed tomography and image-guided percutaneous biopsy are valuable tools for diagnosis. CASE REPORT: A 64-year-old woman presented with a 2-year history of repeated right waist pain and a 1-month history of nausea, vomiting, and frequent and urgent urination. A computed tomography scan showed a huge mass that was initially considered to be renal cell carcinoma at the upper pole of the right kidney. The mass had invaded the renal pelvis, narrowed the right renal artery, and constricted the inferior vena cava and liver. Postoperative examination of the tumor confirmed lymphoma. We herein present this case and its multidisciplinary team management. CONCLUSION: Multidisciplinary team management is efficient for preoperative assessment and surgery in difficult and high-risk cases. Based on our literature review, we suggest biopsy before chemotherapy whenever possible. Chemotherapy can be implemented after surgery for better survival outcomes. SAGE Publications 2019-05-08 2019-06 /pmc/articles/PMC6567734/ /pubmed/31066322 http://dx.doi.org/10.1177/0300060519842049 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Cheng, Xu
Huang, Zhichao
Li, Daiqiang
Wang, Yinhuai
Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review
title Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review
title_full Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review
title_fullStr Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review
title_full_unstemmed Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review
title_short Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review
title_sort enormous primary renal diffuse large b-cell lymphoma: a case report and literature review
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6567734/
https://www.ncbi.nlm.nih.gov/pubmed/31066322
http://dx.doi.org/10.1177/0300060519842049
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