A Case of Angiolymphoid Hyperplasia with Eosinophilia / 대한비뇨기과학회지

ABSTRACT

A 46-year-old man was admitted to our hospital with a chief complaint of hemoptysis for 2 months. Taken from local clinic, multiple metastatic pulmonary nodules on both lung fields were noted on chest X-ray. On our evaluation for primary lesion, IVP showed suspected space occupying lesion at the upper pole of left kidney. Ultrasonogram and abdominal CT of kidneys showed bilateral renal solid masses and a simple renal cyst of right kidney. Bilateral selective renal angiogram showed a huge hypervascular mass on the upper pole of left kidney and a small hypervascular solid mass on the middle pole of contralateral mate kidney. Under the clinical diagnosis of synchronous bilateral renal cell carcinoma, right partial nephrectomy with marsupialization of right renal cyst and left radical nephrectomy with lymphadenectomy was performed by Chevron's incision The patient was discharged from the hospital without any complication on 12th postoperative day. Three weeks after surgery, alpha interferon injection was started as 3 mega units intramuscularly once daily for 2 months and then 5 times per week, with cimetidine 200mg p.o. 4 times daily and continued until now for the control of pulmonary metastasis. On postoperative 10 months; control chest X-ray shows partial response of pulmonary metastasis.