METHODS: We present the case of a 13-year-old African American male with sickle cell trait who presented with a renal mass and hematuria. Evaluation included imaging, fluid cultures, and cytologic assessment.
RESULTS: Patient was diagnosed with RMC based on cytologic assessment of sub-centimeter fluid collections aspirated from the left kidney at the time of cortical biopsy for suspected renal mass. The additional fluid aspiration in conjunction with renal biopsy was an atypical but crucial step in early diagnosis.
CONCLUSIONS: Cytomorphologic evaluation of fluid biospecimens is not currently part of the standard work-up for patients with renal masses but, when available, can provide crucial information that reduces time to diagnosis. Prompt symptom recognition and treatment initiation may improve patient outcomes.
方法:我们介绍了一名13岁的非洲裔美国男性,其镰状细胞特征表现为肾脏肿块和血尿。
结果:患者根据在皮质活检时从左肾吸出亚厘米液体的细胞学评估被诊断为RMC,怀疑有肾脏肿块。
结论:流体生物标本的细胞形态学评估目前不是肾肿块患者的标准检查的一部分,但是,