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Title: 黄色肉芽腫性腎盂腎炎の臨床的検討 --特に腎細胞癌との鑑別診断について--
Other Titles: A clinical study of xanthogranulomatous pyelonephritis with special emphasis on the differential preoperative diagnosis between xanthogranulomatous pyelonephritis and renal cell carcinoma
Authors: 横尾, 彰文  KAKEN_name
広瀬, 崇興  KAKEN_name
酒井, 茂  KAKEN_name
大村, 清隆  KAKEN_name
山崎, 清仁  KAKEN_name
塚本, 泰司  KAKEN_name
斉藤, 誠一  KAKEN_name
熊本, 悦明  KAKEN_name
Author's alias: Yokoo, Akifumi
Hirose, Takaoki
Sakai, Shigeru
Ohmura, Kiyotaka
Yamazaki, Kiyohito
Tsukamoto, Taiji
Saito, Seiichi
Kumamoto, Yoshiaki
Keywords: Carcinoma, Renal Cell/diagnosis/pathology
Diagnosis, Differential
Female
Humans
Hypergammaglobulinemia/complications
Kidney/radiography
Kidney Neoplasms/diagnosis/pathology
Middle Aged
Pyelonephritis, Xanthogranulomatous/diagnosis/pathology
Tomography, X-Ray Computed
Issue Date: Jul-1988
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 34
Issue: 7
Start page: 1151
End page: 1159
Abstract: An accurate preoperative diagnosis of xanthogranulomatous pyelonephritis is difficult because of its clinical and radiological similarities to renal cell carcinoma. We report two cases of xanthogranulomatous pyelonephritis. Furthermore, in an attempt to clarify the clinical distinction between this entity and renal cell carcinoma, we summarize the clinical characteristics of 143 cases with xanthogranulomatous pyelonephritis in the literature and 126 cases with renal cell carcinoma experienced in our clinic. According to the clinical reviews, several characteristics of xanthogranulomatous pyelonephritis were revealed. 1) Presence of history of pyelonephritis. 2) gamma-globulinemia in blood chemistry. 3) Non-visualizing kidney on the excretory urogram. 4) Hypovascular or avascular features and dilatation of renal capsular arteries on angiogram. 5) Heterogenous renal mass and thickness of Gerota's fascia on computed tomogram. 6) Positive uptake of renal mass in Ga-scintigram. When some of these features are found in the renal mass, the case could be of xanthogranulomatous pyelonephritis and therefore a kidney preserving operation should be considered.
URI: http://hdl.handle.net/2433/119648
PubMed ID: 3177136
Appears in Collections:Vol.34 No.7

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