关键词: Actinomycetoma Case report Mycetoma Renal Mycetoma Renal malignancy

来  源:   DOI:10.1016/j.ijscr.2023.108366   PDF(Pubmed)

Abstract:
UNASSIGNED: Neoplasms of the Kidney are rarely caused by actinomycetoma or other mycetoma species. Actinomycetoma is a neglected tropical disease which is not uncommon in Sudan. Usually, it is presented as skin and subcutaneous tissue lesions or mass and can affect the bone and other soft tissue. Sites of the lesion are found in lower limbs, upper limbs, head and neck and torso.
METHODS: A 55-year-old female presented incidental left renal mass on ultrasound examination from the internal medical department. It is presented as a renal mass mimicking renal cell carcinoma with coexistence with another actinomycetoma brain mass. The histopathology report after nephrectomy confirmed the diagnosis. Patients commenced on anti-actinomycetoma treatment after nephrectomy.
UNASSIGNED: This is the first reported case in our facility which was diagnosed as a renal actinomycetoma. It was treated by surgical excision and received antibacterial treatments.
CONCLUSIONS: This case demonstrates that renal actinomycetoma can occur in an endemic area even without cutaneous or subcutaneous lesions.
摘要:
肾脏肿瘤很少由放线菌瘤或其他菌瘤引起。放线菌瘤是一种被忽视的热带病,在苏丹并不少见。通常,它表现为皮肤和皮下组织病变或肿块,并可影响骨骼和其他软组织。病变部位在下肢,上肢,头部和颈部和躯干。
方法:一名55岁女性在内科超声检查中出现了偶然的左肾肿块。它表现为模仿肾细胞癌的肾脏肿块,与另一个放线菌瘤脑肿块共存。肾切除术后的组织病理学报告证实了诊断。患者在肾切除术后开始接受抗放线菌瘤治疗。
这是我们机构中首例被诊断为肾放线菌瘤的病例。通过手术切除治疗并接受抗菌治疗。
结论:本病例表明,肾放线菌瘤可以发生在地方性地区,即使没有皮肤或皮下病变。
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