Related Experiment Videos
Primary pediatric stage III renal diffuse large B-cell lymphoma.
Akira Hayakawa1, Nobuya Shimotake, Ikuko Kubokawa
1Department of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
The American Journal of Case Reports
|April 10, 2013
Summary
Primary renal lymphoma, a rare pediatric cancer, was successfully treated in a 12-year-old girl with diffuse large B-cell lymphoma. Prompt chemotherapy led to complete remission, highlighting the importance of considering this rare diagnosis for unusual kidney tumors.
Area of Science:
- Pediatric Oncology
- Nephrology
- Hematology
Background:
- Primary renal lymphoma is an exceptionally rare condition, distinct from secondary involvement of the kidney by non-Hodgkin lymphoma.
- Diffuse large B-cell lymphoma can manifest as a primary renal tumor, even in pediatric patients.
Purpose of the Study:
- To report a rare case of primary renal diffuse large B-cell lymphoma in a pediatric patient.
- To emphasize the diagnostic challenges and treatment outcomes for this rare entity.
Main Methods:
- A 12-year-old female presented with gross hematuria and a renal mass.
- Diagnostic workup included imaging, nephrectomy, and pathological examination confirming diffuse large B-cell lymphoma.
- Staging involved PET/CT, revealing secondary thyroid involvement. Treatment consisted of chemotherapy.
Main Results:
- Pathological examination confirmed diffuse large B-cell lymphoma of the kidney.
- The patient was diagnosed with stage III lymphoma after detecting thyroid involvement.
- Following chemotherapy, the patient achieved complete remission and remained disease-free for 3 years.
Conclusions:
- Primary renal lymphoma is a rare diagnosis that can be challenging to identify preoperatively.
- Given its aggressive nature, primary renal lymphoma should be considered in the differential diagnosis of pediatric renal tumors.
- This case demonstrates a favorable outcome with timely chemotherapy.
Related Concept Videos
01:28Chronic Kidney Disease III: Interprofessional Care
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
01:16Kidney Transplant III: Nursing Management
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
01:28Kidney Transplant I: Introduction
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
01:16Primary Lymphoid Organs
Primary lymphoid organs are pivotal in the formation, development, and maturation of lymphocytes, the white blood cells that serve as the backbone of our immune system. This crucial function underscores their fundamental role in maintaining our overall health and immunity. The two primary lymphoid organs of prime importance are the red bone marrow and the thymus.
The red bone marrow is a soft, spongy tissue nestled in the interior of long bones such as the humerus and femur. It is the site...
The red bone marrow is a soft, spongy tissue nestled in the interior of long bones such as the humerus and femur. It is the site...
01:24Nephrotic Syndrome III : Nursing Management
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...