A case report of Nephrogenic adenoma associated with Xanthogranulomatous pyelonephritis and literature review
DENG Mingxia1, YAO Ruizhi2, TONG Wenting3, WU Di2, MENG Lei2
1The First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510405, China; 2Department of Urology, the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405; 3Department of Pharmacy, Gannan Health Vocational College,Ganzhou 341000
Abstract:Objective: To investigate the pathogenesis, pathology, clinical manifestations, diagnosis and differential diagnosis and treatment of a rare case of Nephrogenic Adenoma (NA) complicated with Xanthogranulomatous Pyelonephritis (XGP). Methods: The clinical data of a case of NA of the left renal pelvis with XGP treated in our hospital was retrospectively analyzed, and the relevant literature was reviewed and discussed. A 65-year-old female patient was admitted to the hospital because of "recurrent hematuria for more than 2 months and worsening for 2 weeks". Before the operation, she was diagnosed as left renal pelvis cancer with ureteral inflammatory stenosis. Results: The patient has received ureteroscopy of left renal pelvis and ureter and mucosa Biopsy and retrograde intubation of the left ureter,Abdominal approach left nephrectomy and left ureterectomy. The pathological results were NA complicated with XGP. The patient was free of signs of recurrence 6 months after operation. Conclusions: Both NA and XGP are rare benign diseases. No case of the same patient with both diseases has been reported. The disease needs to be differentiated from other benign and malignant tumors of the urinary system for proper diagnosis and timely treatment.
邓明霞, 姚睿智, 童文婷, 吴狄, 孟磊. 肾源性腺瘤合并黄色肉芽肿性肾盂肾炎1例报告并文献复习[J]. 微创泌尿外科杂志, 2021, 10(5): 343-347.
DENG Mingxia, YAO Ruizhi, TONG Wenting, WU Di, MENG Lei. A case report of Nephrogenic adenoma associated with Xanthogranulomatous pyelonephritis and literature review. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2021, 10(5): 343-347.
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