Multiple Hypovascular Tumors in Kidney: A Rare Case Report and Differential Diagnosis
The most common malignant renal tumor is renal cell carcinoma and surgery is the standard treatment. The proportion of lymphoma with renal involvement is 2~15% and lymphoma could be cured by chemotherapy without nephrectomy. Sonography, computed tomography (CT), and magnetic resonance imaging (MRI)...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/595193 |
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| author | Pei-Yu Wu Sheng-Fung Lin Ping-Hsun Wu Yi-Chun Tsai Yu-Ting Kuo Mei-Chuan Kuo Hung-Chun Chen |
| author_facet | Pei-Yu Wu Sheng-Fung Lin Ping-Hsun Wu Yi-Chun Tsai Yu-Ting Kuo Mei-Chuan Kuo Hung-Chun Chen |
| author_sort | Pei-Yu Wu |
| collection | DOAJ |
| description | The most common malignant renal tumor is renal cell carcinoma and surgery is the standard treatment. The proportion of lymphoma with renal involvement is 2~15% and lymphoma could be cured by chemotherapy without nephrectomy. Sonography, computed tomography (CT), and magnetic resonance imaging (MRI) can detect and characterize a renal mass. We present a case of right renal hypovascular tumors and differential diagnosis of hypovascular tumors by image study. CT scan showed hypovascular tumors and MRI image revealed multifocal hypovascular solid tumors with significantly increased apparent diffusion coefficient (ADC) of diffusion weighted imaging (DWI). Based on image finding, renal lymphoma was highly suspected. Renal lymphoma was confirmed by renal biopsy and this patient received chemotherapy without surgery. The noninvasive CT scan and MRI image can help clinicians to diagnose the characteristics of renal mass and to avoid unnecessary nephrectomy. |
| format | Article |
| id | doaj-art-b795b7bf991a46539d4e61b65dd3c292 |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-b795b7bf991a46539d4e61b65dd3c2922025-08-20T02:19:18ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/595193595193Multiple Hypovascular Tumors in Kidney: A Rare Case Report and Differential DiagnosisPei-Yu Wu0Sheng-Fung Lin1Ping-Hsun Wu2Yi-Chun Tsai3Yu-Ting Kuo4Mei-Chuan Kuo5Hung-Chun Chen6Division of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, No. 100 Tzyou 1st Road, Kaohsiung 80756, TaiwanDivision of Hematology and Oncology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, TaiwanDivision of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, No. 100 Tzyou 1st Road, Kaohsiung 80756, TaiwanDivision of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, No. 100 Tzyou 1st Road, Kaohsiung 80756, TaiwanDepartment of Medical Imaging, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, TaiwanDivision of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, No. 100 Tzyou 1st Road, Kaohsiung 80756, TaiwanDivision of Nephrology, Department of Internal Medicine, Kaohsiung Medical University Chung-Ho Memorial Hospital, No. 100 Tzyou 1st Road, Kaohsiung 80756, TaiwanThe most common malignant renal tumor is renal cell carcinoma and surgery is the standard treatment. The proportion of lymphoma with renal involvement is 2~15% and lymphoma could be cured by chemotherapy without nephrectomy. Sonography, computed tomography (CT), and magnetic resonance imaging (MRI) can detect and characterize a renal mass. We present a case of right renal hypovascular tumors and differential diagnosis of hypovascular tumors by image study. CT scan showed hypovascular tumors and MRI image revealed multifocal hypovascular solid tumors with significantly increased apparent diffusion coefficient (ADC) of diffusion weighted imaging (DWI). Based on image finding, renal lymphoma was highly suspected. Renal lymphoma was confirmed by renal biopsy and this patient received chemotherapy without surgery. The noninvasive CT scan and MRI image can help clinicians to diagnose the characteristics of renal mass and to avoid unnecessary nephrectomy.http://dx.doi.org/10.1155/2013/595193 |
| spellingShingle | Pei-Yu Wu Sheng-Fung Lin Ping-Hsun Wu Yi-Chun Tsai Yu-Ting Kuo Mei-Chuan Kuo Hung-Chun Chen Multiple Hypovascular Tumors in Kidney: A Rare Case Report and Differential Diagnosis Case Reports in Medicine |
| title | Multiple Hypovascular Tumors in Kidney: A Rare Case Report and Differential Diagnosis |
| title_full | Multiple Hypovascular Tumors in Kidney: A Rare Case Report and Differential Diagnosis |
| title_fullStr | Multiple Hypovascular Tumors in Kidney: A Rare Case Report and Differential Diagnosis |
| title_full_unstemmed | Multiple Hypovascular Tumors in Kidney: A Rare Case Report and Differential Diagnosis |
| title_short | Multiple Hypovascular Tumors in Kidney: A Rare Case Report and Differential Diagnosis |
| title_sort | multiple hypovascular tumors in kidney a rare case report and differential diagnosis |
| url | http://dx.doi.org/10.1155/2013/595193 |
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