METHODS: Our patient is a 54 year old Caucasian female who presented with five days of left flank pain, hematuria, chills, nausea and vomiting. Imaging and biopsy results showed that the patient had XPGN.
UNASSIGNED: XPGN is a difficult condition to diagnose as the symptoms are non-specific relative to renal cell carcinoma or other common renal infections. Definitive diagnosis is made with a biopsy; however, clues in various imaging modalities are used to make a tentative diagnosis. It is unclear whether earlier surgical intervention would have improved overall patient outcomes. Currently, a partial or complete nephrectomy is the only effective treatment.
CONCLUSIONS: Aggressive management including early diagnosis, antibiotics and nephrectomy appears to be critical in preventing progression and complications of XPNG.
方法:我们的患者是一名54岁的白种人女性,表现为5天的左侧腹疼痛,血尿,发冷,恶心和呕吐。影像学和活检结果显示患者患有XPGN。
UASSIGNED:XPGN是一种难以诊断的疾病,因为症状相对于肾细胞癌或其他常见的肾脏感染是非特异性的。明确的诊断是通过活检;然而,各种成像方式中的线索用于进行初步诊断。目前尚不清楚早期手术干预是否会改善患者的总体预后。目前,部分或完全肾切除术是唯一有效的治疗方法。
结论:积极的管理,包括早期诊断,抗生素和肾切除术似乎对预防XPNG的进展和并发症至关重要。