Primary renal lymphoma: a report of 9 cases / 中华老年医学杂志

ABSTRACT

Objective To discuss the diagnosis and treatment of primary renal lymphoma.Methods The clinical data of 9 cases with primary renal lymphoma were retrospectively analyzed.Results Among 9 cases aged 47-75 years,5 cases were male,4 female.8 cases presented with unilateral and 1 case with bilateral masses.4 cases had lumbar pain,3 cases were founded by regular health examination,3 cases with fever and 2 cases with body weight loss,1 case had haematuria and 1 case with abdominal distension.7 cases had an elevated serum lactate dehydrogenase(292 -2696 U/L)and 5 cases had higher β2 microglobulin(3.14 -6.29 mg/L).The CT showed occupied lesions in renal.Under the type-B ultrasonic,a lump in the kidney was found.One case was diagnosed as T cell nonHodgkin's lymphoma,8 cases as B cell non- Hodgkin' s lymphoma by pathology.8 cases had kidney removed and received chemotherapy or plus target therapy,radiotherapy,immunotherapy.2 patients died with 5,13 months survival after operation.4 cases have been followed up for 1,2,3,5 years,respectively.2 cases were missed.1 case only under biopsy died 11 months after chemotherapy.Conclusions Because of no characteristic clinical appearance,the diagnosis of primary renal lymphoma could not be made preoperatively.The principal treatment consists of kidney resection and adjuvant combination chemotherapy.