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 CASE REPORT
Year : 2018  |  Volume : 28  |  Issue : 6  |  Page : 485-487

An unusual association of renal cell carcinoma and renal malakoplakia with focal segmental glomerulosclerosis in an elderly patient


1 Department of Nephrology, Madras Medical Mission Hospital; Department of Nephrology, Tamilnadu Kidney Research Foundation, Chennai, Tamil Nadu, India
2 Department of Pathology, Madras Medical Mission Hospital, Chennai, Tamil Nadu, India
3 Department of Nephrology, Madras Medical Mission Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
G Abraham
No 4-A, Madras Medical Mission Hospital, Dr. J Jayalalitha Nagar, Mogappair, Chennai - 600 037, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijn.IJN_289_17

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The association of malignancy and glomerulonephritis may be missed, especially in elderly patients. Here, we report a case of eosinophilic variant of renal cell carcinoma and renal parenchymal malakoplakia discovered on renal biopsy in a patient with steroid-dependent nephrotic syndrome. The presence of malakoplakia in our biopsy was probably due to systemic steroid therapy for glomerulonephritis, presence of concomitant asymptomatic urinary tract infection, and/or history of diabetes mellitus. The patient had remission of proteinuria following laparoscopic removal of the tumor, indicating probable remission of glomerulonephritis.






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Indian Journal of Nephrology
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