|
KMID : 0882420150880050587
|
|
Korean Journal of Medicine
2015 Volume.88 No. 5 p.587 ~ p.592
|
|
|
A Case of Metastatic Papillary Renal Cell Carcinoma Mimicking a Renal Abscess
|
|
Kim Young-Wook
Kim Young-Sun
Ji Eun-Young
Kim Jung-Hoon
Jun Seung-Ah
Shin Seok-Joon
Yoon Hye-Eun
|
|
|
Abstract
|
|
|
|
Papillary renal cell carcinoma (PRCC), a histological subtype of renal cell carcinoma (RCC), accounts for approximately 10% of all RCC. Here, we report a case of metastatic RCC diagnosed unexpectedly in a 31-year-old female patient. Computed tomography revealed a renal abscess in the left kidney and the urine culture confirmed Escherichia coli producing extended-spectrum beta-lactamase. Despite appropriate antibiotic treatment for 2 months, the patient’s symptoms and radiological findings worsened and she underwent nephrectomy. Pathological examination confirmed type 2 PRCC and a further staging study found stage 4 (T3N1M1). Our findings indicate that malignancy should be considered in young patients with a bacteriologically confirmed urinary tract infection.
|
|
|
KEYWORD
|
|
|
Renal cell carcinoma, Pyelonephritis, Fever of unknown origin
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|