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 CASE REPORT
Year : 2011  |  Volume : 21  |  Issue : 1  |  Page : 56-58

An unusual case of bilateral renal enlargement due to primary renal lymphoma


1 Department of Nephrology, Kalinga Institute of Medical Sciences, Bhubaneswar, India
2 Department of Pathology, Kalinga Institute of Medical Sciences, Bhubaneswar, India
3 Department of Pediatric Surgery, Kalinga Institute of Medical Sciences, Bhubaneswar, India
4 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
S C Dash
Department of Nephrology, Kalinga Institute of Medical Sciences, KIIT Campus-5, Bhubaneswar - 751 024
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.78081

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Primary renal lymphoma is an uncommon variant of extranodal non-Hodgkin's lymphoma. Manifestations are usually nonspecific hematuria, fever, flank pain, and renal insufficiency. Pathological data are scanty; few reports indicate it has a very poor prognosis. We describe a child with bilateral symmetrically palpable kidneys, low-grade pyrexia, and arthralgia. Clinically, diagnosis was missed partly due to the fact that bilateral large renal tumors commonly produce asymmetric renal swelling, renal dysfunction, and hematuria which were absent in this case and partly due to rarity of the condition. However, radiological investigations combined with renal histology helped in establishing diagnosis in the present case.






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Indian Journal of Nephrology
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Online since 20th Sept '07