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Chronic renal infarct simulating renal mass: diagnostic challenge
N P Gupta1, G Nabi, P K Kesarwani
1Department of Urology and Pathology, All India Institute of Medical Sciences, New Delhi.
International Urology and Nephrology
|November 28, 2002
Summary
A symptomatic renal mass was initially suspected to be cancer but was diagnosed as a chronic renal infarct. This finding highlights the importance of considering renal infarcts in the differential diagnosis of renal masses.
Area of Science:
- Nephrology
- Urologic Oncology
- Radiology
Background:
- Renal masses can present with various symptoms, often necessitating diagnostic imaging and surgical intervention.
- Renal cell carcinoma is the most common malignant renal tumor, but benign conditions can mimic its presentation.
Observation:
- A 36-year-old male presented with a symptomatic left renal mass.
- Imaging suggested a potential renal cell carcinoma.
Findings:
- Histopathology after radical nephrectomy revealed a chronic renal infarct with calcifications.
- The mass was not a renal cell carcinoma.
Implications:
- Focal chronic renal infarcts should be included in the differential diagnosis of renal masses.
- A history of trauma may increase the likelihood of renal infarcts.
- This case underscores the importance of thorough histopathological examination for accurate diagnosis.