KSANTOGRANULOMATOZNI PIJELONEFRITIS I DIJAGNOSTIČKI PRISTUP: PRIKAZ SLUČAJA
Sažetak
Ksantogranulomatozni pijelonefritis (KSGPN) je redak hronični granulomatozni proces, koji može dovesti do značajne destrukcije bubrežnog parenhima i propagacije zapaljenja u susedna pararenalna tkiva. Prikazani bolesnik imao je ksantogranulomatozno zapaljenje bubrežne karlice, perinefritičnog i paranefritičnog tkiva, sa formiranjem velike tumorolike mase, koja se pružala do baze mokraćne bešike. Nalaz patognomoničnih penastih makrofaga i multinuklearnih džinovskih ćelija, koje su bile difuzno pozitivne na CD68, potvrdio je preciznu dijagnozu. Budući da KSGPN može oponašati različita klinički i patološki benigna i maligna stanja, potreban je multidisciplinarni dijagnostički pristup. Ponekad su neophodna pažljiva klinička, radiološka, nuklearna i patohistološka ispitivanja, kako bi se utvrdio tip i stepen oštećenja bubrega, što će odrediti hirurški pristup, posebno ako nefrektomija nije planirana.
Reference
Antonakopoulos GN, Chapple CR, Newman J, Crocker J, Tudway DC, O'Brien JM, et al. Xanthogranulomatous pyelonephritis. A reappraisal and immunohistochemical study. Arch Pathol Lab Med 1988;112(3):275-81. [PubMed]
Bolger MP, Hennebry J, Byrne C, Greene L, Stroiescu A, Heneghan J, et al. Xanthogranulomatous pyelonephritis: a narrative review with current perspectives on diagnostic imaging and management, including interventional radiology techniques. Int J Nephro Renovas Disease 2021;14:359-69. [CrossRef][PubMed]
Chlif M, Chakroun M, Rhouma SB, Chehida MAB, Sellami A, Gargouri MM, et al. Xanthogranulomatous pyelonephritis presenting as a pseudotumour. Can Urol Assoc J 2016;10(1-2):E36-40. [CrossRef][PubMed]
Chow J, Kabani R, Lithgow K, Sarna MA. Xanthogranulomatous pyelonephritis presenting as acute pleuritic chest pain: A case report. J Med Case Rep 2017;11:101. [CrossRef][PubMed]
Craig WD, Wagner BJ, Travis MD. Pyelonephritis: radiologic-pathologic review. Radiographics 2008;28(1):255-77. [CrossRef][PubMed]
Khalyl-Mawad J, Greco MA, Schinella RA. Ultrastructural demonstration of intracellular bacteria in xanthogranulomatous pyelonephritis. Hum Pathol 1982;13(1):41-7. [CrossRef][PubMed]
Kobayashi T, Casablanca NM, Harrington M. Pyeloduodenal fistula diagnosed with technetium-99m scintigraphy and managed with a conservative strategy. BMJ Case Rep 2018:bcr2017223425. [CrossRef][PubMed]
Kundu R, Baliyan A, Dhingra H, Bhalla V, Punia RS. Clinicopathological spectrum of Xanthogranulomatous pyelonephritis. Indian J Nephrol 2019;29(2):111-15. [CrossRef][PubMed]
Le X, Wang X-B, Zhao H, Chen R-F, Ge P. Comparison of clinicopathologic parameters and oncologic outcomes between type 1 and type 2 papillary renal cell carcinoma. BMC Urol 2020;20:148. [CrossRef][PubMed]
Loffroy R, Guiu B, Watfa J, Michel F, Cercueil JP, Krausé D. Xanthogranulomatous pyelonephritis in adults: clinical and radiological findings in diffuse and focal forms. Clin Radiol 2007;62(9):884-90. [CrossRef][PubMed]
Morales C, Opazo V, Bassa C, López L, Araos F, Madrid P, et al. Xanthogranulomatous pyelonephritis: A case report. Urol Case Rep 2018;19:65-6. [CrossRef][PubMed]
Motuzko E, Germaine P. Xanthogranulomatous pyelonephritis: the uncommon complications of the uncommon disease. Appl Radiol 2016;45(6):32-4.
Numan L, Zamir H, Husainat NM, Tahboub M. Xanthogranulomatous Pyelonephritis Causing Renocolic fistula presenting as symptomatic anemia. Cureus 2019;11(6):e4947. [CrossRef][PubMed]
Onur MR, Firdolas F, Kocakoç E, Orhan I. Inflammatory pseudotumor of the kidney. J Clin Imag Sci 2011;1:7. [CrossRef][PubMed]
Parsons MA, Harris SC, Longstaff AJ, Grainger RG. Xanthogranulomatous pyelonephritis: a pathological, clinical and aetiological analysis of 87 cases. Diagn Histopathol 1983;6(3-4):203-19. [PubMed]
Ristić Petrović A, Stojnev S, Janković Veličković L, Marjanović G, Stefanović V. Malakoplakia mimics urinary bladder cancer: a case report.
Titus B, Gupta S, Edpao P, Psutka SP, Limaye AP, Bakthavatsalam R, et al. Xanthogranulomatous pyelonephritis with direct extension into the liver. Am J Med 2020;133(9):1054-5. [CrossRef][PubMed]
Zorzos I, Moutzouris V, Korakianitis G, Katsou G. Analysis of 39 cases of xanthogranulomatous pyelonephritis with emphasis on CT findings. Scand J Urol Nephrol 2003;37(4):342-7. [CrossRef][PubMed]
Zorzos I, Moutzouris V, Korakianitis G, Katsou G. Analysis of 39 cases of xanthogranulomatous pyelonephritis with emphasis on CT findings. Scand J Urol Nephrol 2003;37(4):342-7. [CrossRef][PubMed]