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    Suppl Tumori. 2005 May-Jun;4(3):S210.

    [Xanthogranulomatous pyelonephritis and renal carcinoma. Report of a clinical case and review of the literature].

    [Article in Italian]
    Garberini A, Caricato M, Valeri S, Alloni R, Ausania F, Rosignoli A, Greco S, Rabitti C, Coppola R.

    Source

    Università Campus BioMedico di Roma, Area di Chirurgia Generale, Università Campus Bio-Medico, Roma.

    Abstract

    Xanthogranulomatous pyelonephritis is a rare disease of the kidney; renal parenchyma is replaced by lesions radiologically simulating clear cell carcinoma. We present a case of a 62-year-old diabetic woman observed at our institution for the appearance of back pain and dysuria. A CT scan revealed a large lesion of left kidney with psoas muscle infiltration and the patient undrwent a nephrectomy. Histology surprisingly showed a xanthogranulomatous pyelonephritis. Though recent reports demonstrated the feasibility of conservative management of XGP with antibiotics, the use of pre-operative biopsy is still limited by the risk of seeding and the high false-negative results. How to distinguish xanthogranulomatous pyelonephritis from renal cancer?

    PMID:
    16437994
    [PubMed - indexed for MEDLINE]

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