The Value of Imaging Methods in the Diagnosis of the Renal Cell Carcinoma Combined with Renal Tuberculosis â€“ Case Report

Tania Tsocheva; Regina Djerassi; Aleksandrina Vlahova; Mila Liubomirova; Boris Bogov

doi:10.3889/oamjms.2013.018

Authors

Tania Tsocheva Hospital Alexandrovska, Clinic of Nephrology, 1 "St. G. Sofiiski" str., Sofia 1431
Regina Djerassi Hospital Alexandrovska, Clinic of Nephrology, 1 "St. G. Sofiiski" str., Sofia 1431
Aleksandrina Vlahova Hospital Alexandrovska, Department of Pathoanatomy, Sofia 1431
Mila Liubomirova Hospital Alexandrovska, Clinic of Nephrology, 1 "St. G. Sofiiski" str., Sofia 1431
Boris Bogov Hospital Alexandrovska, Clinic of Nephrology, 1 "St. G. Sofiiski" str., Sofia 1431

DOI:

https://doi.org/10.3889/oamjms.2013.018

Keywords:

Granulomatous inflammation, epithelioid histiocytes, multinucleated giant cells, renal cell carcinoma, case report.

Abstract

We describe a case of renal cell carcinoma which causes difficulties to set diagnosis with imaging methods. The histological examination revealed renal cell carcinoma associated with epithelioid cell granuloma with caseous necrosis. Granulomatous inflammation is characterized by the accumulation of epithelioid histiocytes and multinucleated giant cells. The cause of granuloma formation can be infectious or non-infectious. Granulomatous response in renal cell carcinoma is rare. This case shows that for accurate diagnosis for suspected tumor is necessary to be used combination of complex imaging - triplex ultrasound, CEUS, CT and histological examination.

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References

Narasimhaiah D, Manipadam M, Aswathaman K, Krishnamoorthy S. Renal cell carcinoma associated with granulomatous reaction. Saudi J Kidney Dis Transpl. 2011;6:1211-1214.

Ouellet S, Albadine R, Sabbagh R. Renal cell carcinoma associated with peritumoral sarcoid-like reaction without intratumoral granuloma. Diagnostic Pathology. 2012;7:28. DOI: https://doi.org/10.1186/1746-1596-7-28

Kumar V, Abbas AK, Fausto N. Acute and Chronic inflammation. In: Pathologic Basis of Disease. Saunders. 2006;7:47-86.

Tsocheva T, Djerassi R. Diagnostic possibilities of contrast enhanced ultrasound in diagnostic of urogenital tumors. Diagnostic and Therapeutic Ultrasound. 2012;20:8-14.

Xu ZF, Xu HX, Xie XY, Guang Y, Zheng YL, Lu M. Renal cell carcinoma and renal angiomyolipoma: differential diagnosis with real-time contrast-enhanced ultrasonography. J Ultrasound Med. 2010;29:709â€“717. DOI: https://doi.org/10.7863/jum.2010.29.5.709