Xanthogranulomatous pyelonephritis (XGPN) mimicking a "renal cell carcinoma with renal vein thrombus and paracaval lymphadenopathy"

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 tumo...

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Bibliographic Details
Published in:F1000 research 2013, Vol.2, p.263-263
Main Authors: Ganpule, Arvind, Jagtap, Jitendra, Ganpule, Sanika, Bhattu, Amit, Soni, Shailesh, Sabnis, Ravindra, Desai, Mahesh
Format: Article
Language:English
Subjects:
Case Report
Genitourinary Cancers
Hemodynamics, Vasc. Biology & Hypertension Sec. to Kidney Dis
Renal Immunology & Pathology (incl. Glomerular Diseases)
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Summary: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.
ISSN:2046-1402
2046-1402
DOI:10.12688/f1000research.2-263.v1