Turk J Hematol. 2016; 33(2): 159-162 | DOI: 10.4274/tjh.2015.0238

Diffuse Large B-Cell Lymphoma Presenting with Bilateral Renal Masses and Hematuria: A Case Report

Şiyar Erdoğmuş¹, Serkan Aktürk¹, Zeynep Kendi Çelebi¹, Saba Kiremitii², Gülşah Kaygusuz², Namık Kemal Altınbaş³, Evren Üstüner³, Kenan Keven^1
1Ankara University Faculty of Medicine, Department of Nephrology, Ankara, Turkey
²Ankara University Faculty of Medicine, Department of Pathology, Ankara, Turkey
³Ankara University Faculty of Medicine, Department of Radiology, Ankara, Turkey

Renal involvement is most often seen in conjunction with multisystemic, disseminated lymphoma either by direct extension from a retroperitoneal mass or via hematogenous spread. Primary lymphoma of the kidney is not a common entity and it is a controversial issue on account of the absence of lymphatic tissues in the normal kidney. In this case report, we describe a 19-year-old male with hematuria, acute kidney injury, and bilateral renal masses due to massive lymphomatous infiltration of the kidneys, which was diagnosed as diffuse large B-cell non-Hodgkin lymphoma by Tru-Cut biopsy.

Keywords: Acute kidney injury, Hematuria, Lymphoma, Renal biopsy, Renal masses

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Bilateral Renal Kitle ve Hematüri ile Prezente Olmuş Diffüz Büyük B Hücreli Lenfoma Olgusu

Şiyar Erdoğmuş¹, Serkan Aktürk¹, Zeynep Kendi Çelebi¹, Saba Kiremitii², Gülşah Kaygusuz², Namık Kemal Altınbaş³, Evren Üstüner³, Kenan Keven^1
1Ankara University Faculty of Medicine, Department of Nephrology, Ankara, Turkey
²Ankara University Faculty of Medicine, Department of Pathology, Ankara, Turkey
³Ankara University Faculty of Medicine, Department of Radiology, Ankara, Turkey

Lenfomada renal tutulum sıklıkla multisistemik olarak, retroperitoneal kitlenin direkt komşuluğu yoluyla veya hematojen yayılım şeklinde ortaya çıkar. Böbrekte lenfatik doku yokluğu nedeniyle primer böbrek lenfoması nadir görülen ve tartışmalı bir durumdur. Bu olguda; hematüri, akut böbrek hasarı ve böbreklerin masif lenfomatöz infiltrasyonuna bağlı bilateral renal kitle ile prezente olmuş ve böbrek biyopsisi ile diffüz büyük B hücreli non-Hodgkin lenfoma tanısı almış 19 yaşında erkek hasta sunulmaktadır.

Anahtar Kelimeler: Akut böbrek hasarı, Hematüri, Lenfoma, Renal biyopsi, Renal kitle

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