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題名 | Renal Lymphoma Diagnosed by Percutaneous Renal Biopsy=經皮腎臟切片診斷腎臟淋巴癌 |
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作者 | 蔡任弼; 江守山; 王智賢; 廖晉興; 方德昭; 許永祥; 徐邦治; Tsai, Jen-pi; Chiang, Shou-shan; Wang, Chih-hsien; Liao, Ching-shing; Fang, Te-chao; Hsu, Yung-hsiang; Hsu, Bang-gee; |
期刊 | 臺灣腎臟醫學會雜誌 |
出版日期 | 20050900 |
卷期 | 19:3 民94.09 |
頁次 | 頁131-134+152 |
分類號 | 416.273 |
語文 | eng |
關鍵詞 | 腎臟淋巴癌; 經皮腎臟切片; Renal lymphoma; Percutaneous renal biopsy; |
中文摘要 | 腎臟淋巴癌常見於嚴重全身性淋巴癌因淋巴椒環擴散於腎臟。有時腎臟淋巴癌表現跟一些腎臟疾病相似,而對腎臟科醫師、放射科醫師、腫瘤科醫師診斷形成一種挑戰。有時因臨床及放射學表現為非特異性,常需腎臟切片來進一步診斷。我們報告一病例,理學檢查及影像學檢查只見主動脈旁淋巴腺腫大及雙側腎臟腫大。因高度懷疑全身性疾病侵犯腎臟,經超音波經皮腎臟切片診斷腎臟non-Hodgkin's巴癌。以6個療程CHOP化學治療後,理學檢查及影像學檢查都無淋巴癌存在。 |
英文摘要 | 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. |
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