전이성 신장암으로 오인된 방선균증에 의한 황색 육아종성 신우신염 1예
Xanthogranulomatous Pyelonephritis Associated with Actinomycosis Misdiagnosed as a Metastatic Kidney Cancer
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초록
방선균증에 의한 황색 육아종성 신우신염은 국내에서 보고된 적이 없는 드문 질환이다. 영상의학적으로 종양이나 농양과 감별이 어려워 수술적 절제에 의해 진단되는 경우가대부분이다. 저자들은 만성 음주력을 가지고 있는 환자에서영상의학적으로 악성종양과 감별이 어려웠고 세침흡인세포검사나 균배양 검사로는 진단이 되지 않아 복강경하 근치적 신장절제술로 방선균증에 의한 황색 육아종성 신우신염을진단하는 증례를 국내에서 처음 경험하였기에 문헌고찰과함께 보고하는 바이다.
Abstract
Xanthogranulomatous pyelonephritis (XP) is an uncommon, chronic, destructive, granulomatous disease of the renal parenchyma. The condition is generally associated with long-term urinary tract obstruction and infection, although the precise etiology of disease remains unknown. The condition often mimics neoplastic and inflammatory diseases, and XP associated with actinomycosis is extremely uncommon. A 60 year-old male was admitted complaining of abdominal pain and weight loss. His radiological findings were suggestive of metastatic kidney cancer, and we performed radical laparoscopic nephrectomy and mesenterectomy for diagnostic purposes. Pathologically, actinomycosis combined with XP was evident. We report here a rare case of XP associated with actinomycosis.
참고문헌 (10)
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