A Case of Metastatic Papillary Renal Cell Carcinoma Mimicking a Renal Abscess / 대한내과학회지
Korean Journal of Medicine
; : 587-592, 2015.
Article
in Ko
| WPRIM
| ID: wpr-162275
Responsible library:
WPRO
ABSTRACT
Papillary renal cell carcinoma (PRCC), a histological subtype of renal cell carcinoma (RCC), accounts for approximately 10% of all RCC. Here, we report a case of metastatic RCC diagnosed unexpectedly in a 31-year-old female patient. Computed tomography revealed a renal abscess in the left kidney and the urine culture confirmed Escherichia coli producing extended-spectrum beta-lactamase. Despite appropriate antibiotic treatment for 2 months, the patient's symptoms and radiological findings worsened and she underwent nephrectomy. Pathological examination confirmed type 2 PRCC and a further staging study found stage 4 (T3N1M1). Our findings indicate that malignancy should be considered in young patients with a bacteriologically confirmed urinary tract infection.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Pyelonephritis
/
Urinary Tract Infections
/
Beta-Lactamases
/
Carcinoma, Renal Cell
/
Abscess
/
Escherichia coli
/
Fever of Unknown Origin
/
Kidney
/
Nephrectomy
Limits:
Adult
/
Female
/
Humans
Language:
Ko
Journal:
Korean Journal of Medicine
Year:
2015
Document type:
Article