Primary renal cell lymphoma: Case report, diagnosis, and management

Thawani, Rajat; Amar, Amarendra; Patowary, Jayanta; Kaul, Shibban K; Jena, Amarnath; Das, Priya

doi:10.4103/ijmpo.ijmpo_167_16

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…[ 2 , 12 ] According to previous case reports, flank pain is the most common symptom in patients with PRL, which is also the main symptom of our patient. [ 3 ] Furthermore, PRL usually has aggressive B cell histopathological characteristics, [ 13 ] and since the most common pathology is DLBCL, [ 14 , 15 ] adrenal glands could also be affected, [ 16 , 17 ] which are all consistent with our case.…”

Section: Discussionsupporting

confidence: 85%

Concomitant occurrence of primary renal non-Hodgkin lymphoma and a colon cancer

Li¹,

Zou²,

Wang

et al. 2019

Medicine

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Rationale:Primary renal lymphoma (PRL) is a rare malignancy due to the absence of lymphatic tissues in the kidney, and patients with PRL have been reported to have a poor prognosis due to its rapid invasiveness and limited treatment strategies. Colon cancer is the third most common cancer, and has a high mortality rate. Both malignant diseases predominantly affected elderly men; however, a case with concomitant occurrence of the 2 cancers is extremely rare.Patient concerns:A 78-year-old male patient with abdominal pain came to our hospital. Computed tomography (CT) indicated malignant masses in the left kidney, left adrenal gland, and the lower part of the descending colon.Diagnoses:PRL and colon cancer were diagnosed based on pathological examinations.Interventions:The patient was treated with laparoscopic radical nephrectomy and laparoscopic radical resection of colon cancer.Outcomes:The patient was then transferred to the intensive care unit (ICU) because of poor condition after surgery. He died 3 months after discharge without receiving any other treatment.Lessons:It is worth thinking about whether surgery was reasonable for elderly patients with double malignancies, or palliative treatment to improve the quality of life was more meaningful. This case also contributes to the understanding of the 2 malignancies and highlights the need to pay more attention to patients with multiple primary malignant neoplasms (MPMNs), explore genetic features, and investigate treatments with more survival benefits.

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Section: Discussionsupporting

confidence: 85%

Concomitant occurrence of primary renal non-Hodgkin lymphoma and a colon cancer

Li¹,

Zou²,

Wang

et al. 2019

Medicine

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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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Primary renal cell lymphoma: Case report, diagnosis, and management

Cited by 7 publications

References 9 publications

Concomitant occurrence of primary renal non-Hodgkin lymphoma and a colon cancer

Concomitant occurrence of primary renal non-Hodgkin lymphoma and a colon cancer

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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