Surgically discovered xanthogranulomatous pyelonephritis invading inferior vena cava with coexisting renal cell
Henry M Rosevear1, Melissa M Meier, Brian L Gallagher
1Department of Urology, University of Iowa, Iowa City, USA. henry-rosevear@uiowa.edu
Abstract:
Xanthogranulomatous pyelonephritis (XGP) is a chronic inflammatory process that results in replacement of renal and/or perirenal tissue with a diffuse infiltrate of inflammatory cells referred to as xanthoma cells. We present a case of a 49-year-old man with an incidentally discovered renal mass with inferior vena cava (IVC) thrombus, who was found intraoperatively to have a significant inflammatory process involving the posterior wall of his IVC and right renal vein consistent with XGP surrounding a focus of clear cell renal cell carcinoma in the midportion of his right kidney.
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