Bilateral primary renal lymphoma with orbital metastasis in a child

Jindal, Bibekanand; Agarwala, Sandeep; Bakhshi, Sameer; Jain, Vaibhav; Gupta, Arun Kumar; Kumar, Rakesh; Bal, Chandra Shekhar; Iyer, Venkateswaram K.; Gupta, Siddharth

doi:10.1002/pbc.21858

Cited by 11 publications

(9 citation statements)

References 25 publications

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“…Primary renal NHL generally presents with an abdominal mass, as in the presented case, but renal failure, hematuria, and anemia have also been described [13,14]. Interestingly, Jindal et al [12] recently reported a 3-year-old male with bilateral primary renal B-cell lymphoma that presented with orbital metastases, and was characterized by difficulty in diagnosis and management similar to that in the presented patient. The overall prognosis in patients with bilateral primary renal NHL is poor, especially in those that present with renal failure.…”

Section: Discussionmentioning

confidence: 61%

“…Renal insufficiency associated with tumor lysis syndrome is a frequent complication that clinicians must be aware of [6,7,8]. Bilateral primary renal NHL is an extremely rare condition in the pediatric age group and only a few cases have been reported in the English-language medical literature [9,10,11,12]. Primary renal NHL generally presents with an abdominal mass, as in the presented case, but renal failure, hematuria, and anemia have also been described [13,14].…”

Section: Discussionmentioning

confidence: 99%

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A Pediatric Renal Lymphoma Case Presenting with Central Nervous System Findings

Baran¹,

Küpeli²,

Doğru³

2013

Tjh

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In pediatric patients renal lymphoma frequently presents in the form of multiple, bilateral mass lesions, infrequently as a single or retroperitoneal mass, and rarely as diffuse infiltrative lesions. In patients with apparent central nervous system involvement close attention to other physical and laboratory findings are essential for preventing a delay in the final diagnosis. Herein we present a pediatric patient with renal lymphoma that presented with central nervous system findings that caused a delay in diagnosis.Conflict of interest:None declared.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

A Pediatric Renal Lymphoma Case Presenting with Central Nervous System Findings

Baran¹,

Küpeli²,

Doğru³

2013

Tjh

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“…Due to the low incidence of PRNHL, randomized controlled trials (RCT) have not been developed to evaluate the best treatment option, 60 however overall the therapeutic regimen for PRNHL depends on the type of lymphoma (according to the tissue diagnosis and immunohistochemistry results) which is most commonly B cell (diffuse large B cell type). 2 …”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, 83 cases of primary NHL of the kidney have been reported in the English literature so far. 3 –69 Herein we will review all the primary renal NHL (PRNHL) reported in the English literature and will report all the clinicopathologic findings in the published cases.…”

Section: Introductionmentioning

confidence: 99%

Primary renal non-Hodgkin’s lymphoma: A narrative review of literature

2021

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Renal involvement by Non-Hodgkin’s lymphoma (NHL) is very rare, and involvement of the kidney as the primary site of NHL (PRNHL) is much more uncommon. Gold standard for the diagnosis of PRNHL is histology and imaging modalities although helpful are not specific. Nephrectomy has been mostly recommended for low grade lymphomas, and for high grade PRNHLs, chemotherapy without nephrectomy has been recommended as the treatment of choice. This tumor is aggressive with poor prognosis. This poor prognosis is partly because of delayed diagnosis and partly because of unnecessary surgeries, so it should be kept in mind, especially in bilateral renal tumors with unusual imaging characteristics, to take a tissue biopsy before nephrectomy. In this review, we will discuss all the detailed aspects of clinical, pathologic, and imaging characteristics of 83 cases of PRNHL reported in the last 20 years in the English literature so far. For this purpose, all the published cases of the primary non-Hodgkin’s lymphoma of kidney were reviewed via a search in PubMed, Scopus, and Google Scholar, (1999–2019), using the keywords of “Primary renal lymphoma” and “Non-Hodgkin’s lymphoma and kidney,” “renal Non-Hodgkin’s lymphoma,” “renal lymphoma,” and “lymphoma and kidney.” There were 83 cases in the published English literature which were reviewed for this article. There was some missing information in some cases which has been recorded as “not reported.”

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“…We thoroughly reviewed all 54 cases of PRL reported in the literature since 2002 (Table 1). 4,7–49 DLBCL was found to be the most common pathological type, and more male than female patients (64.8%) were reported. Additionally, PRL was generally located in the bilateral kidneys in younger patients (<30 years old) and in a unilateral kidney in older patients, indicating that the site of PRL is age-related.…”

Section: Discussionmentioning

confidence: 99%

Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review

Huang

et al. 2019

J Int Med Res

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Introduction Primary renal lymphoma is a rare malignant lymphoma that is difficult to differentiate from renal cell carcinoma. Positron emission tomography/computed tomography and image-guided percutaneous biopsy are valuable tools for diagnosis. Case report A 64-year-old woman presented with a 2-year history of repeated right waist pain and a 1-month history of nausea, vomiting, and frequent and urgent urination. A computed tomography scan showed a huge mass that was initially considered to be renal cell carcinoma at the upper pole of the right kidney. The mass had invaded the renal pelvis, narrowed the right renal artery, and constricted the inferior vena cava and liver. Postoperative examination of the tumor confirmed lymphoma. We herein present this case and its multidisciplinary team management. Conclusion Multidisciplinary team management is efficient for preoperative assessment and surgery in difficult and high-risk cases. Based on our literature review, we suggest biopsy before chemotherapy whenever possible. Chemotherapy can be implemented after surgery for better survival outcomes.

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Bilateral primary renal lymphoma with orbital metastasis in a child

Cited by 11 publications

References 25 publications

A Pediatric Renal Lymphoma Case Presenting with Central Nervous System Findings

A Pediatric Renal Lymphoma Case Presenting with Central Nervous System Findings

Primary renal non-Hodgkin’s lymphoma: A narrative review of literature

Enormous primary renal diffuse large B-cell lymphoma: A case report and literature review

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