RESUMO
We present the case of a 49-year-old patient with polycystic kidney disease in which, in the pre-transplant CT-scan evaluation, a Bosniak III cyst was found in the left kidney. After contrast enhanced ultrasound (CEUS) examination the cyst wasinterpreted as a Bosniak IV malignant cyst and surgical resection of the kidney was realised. The pathology report showed papillary renal cell carcinoma. This case report emphasizes the role of CEUS in polycystic kidney disease examination.
Assuntos
Carcinoma de Células Renais , Cistos , Neoplasias Renais , Doenças Renais Policísticas , Humanos , Pessoa de Meia-Idade , Carcinoma de Células Renais/complicações , Carcinoma de Células Renais/diagnóstico por imagem , Meios de Contraste , Rim/diagnóstico por imagem , Rim/patologia , Doenças Renais Policísticas/complicações , Doenças Renais Policísticas/diagnóstico por imagem , Doenças Renais Policísticas/patologia , Neoplasias Renais/complicações , Neoplasias Renais/diagnóstico por imagem , Neoplasias Renais/patologia , Ultrassonografia , Cistos/patologiaRESUMO
We present a case of a 51-year-old woman referred to our department for unspecific abdominal pain. Two hypoechoic focal lesions in the retroperitoneal space and one hypoechoic mass superficially located in the mesogastrium were found at ultrasound (US) examination. All three masses were characterized as malignant by using contrast enhanced ultrasound (CEUS), due to the rapid hyperenhancement pattern followed by rapid wash-out. Laparoscopic biopsies revealed the final positive diagnosis of Burkitt lymphoma and hematologic treatment was immediately initiated.
