A Case of Metastatic Papillary Renal Cell Carcinoma Mimicking a Renal Abscess / 대한내과학회지
Korean Journal of Medicine
; : 587-592, 2015.
Article
em Ko
| WPRIM
| ID: wpr-162275
Biblioteca responsável:
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Pielonefrite
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Infecções Urinárias
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Beta-Lactamases
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Carcinoma de Células Renais
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Abscesso
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Escherichia coli
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Febre de Causa Desconhecida
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Rim
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Nefrectomia
Limite:
Adult
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Female
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Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2015
Tipo de documento:
Article