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Renal Lymphoma Diagnosed by Percutaneous Renal Biopsy
經皮腎臟切片診斷腎臟林巴癌
並列摘要
Renal lymphoma is in general secondary to lymphomatous infiltration of the kidneys in disseminated lymphoma. Occult renal lymphoma clinically mimicking renal medical disease constitutes a diagnostic challenge to nephrologists, radiologists, and oncologists. The clinical and radiological findings, mostly nonspecific or inconclusive, seldom obviate the need for a renal biopsy. Here, we describe a 69-year-old man presenting with enlargement of bilateral kidneys. Physical examination and image studies revealed enlarged lymph nodes at para-aorta area. Under high suspicion of systemic infiltrative diseases involving bilateral kidneys because of atypical renal images, percutaneous renal biopsy was performed and showed renal T-cell non-Hodgkin's lymphoma. After six courses of chemotherapy with cyclophosphamide, doxorubicin, vincristine and prednisolone (CHOP) therapy, there was no evidence of lymphoma in this patient.
延伸閱讀
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