68 Lymphoma (Non-Hodgkin Type) Involving the Kidney

CASE 68


Clinical Presentation


A 76-year-old woman presents with a low-grade fever and weight loss.




image

Fig. 68.1 (A–C) Contrast-enhanced axial CT images of the abdomen demonstrate a soft tissue mass in the perirenal space involving the right kidney and associated with thickening of Gerota fascia. There is extension of the mass into the renal sinus with encasement of the renal artery. There is also destruction of the adjacent vertebral body.


Radiologic Findings


Contrast-enhanced axial computed tomography (CT) images of the abdomen demonstrate a soft tissue mass in the perirenal space involving the right kidney and associated with thickening of Gerota fascia. There is extension of the mass into the renal sinus with encasement of the renal artery. There is also destruction of the adjacent vertebral body (Fig. 68.1).


Diagnosis


Non-Hodgkin lymphoma (NHL) involving the kidney


Differential Diagnosis



  • Retroperitoneal sarcoma
  • Metastasis to the perinephric space
  • Perinephric hematoma
  • Extramedullary hematopoiesis

Discussion


Background

Related posts:

4 Hydatid Disease 33 Islet Cell Tumor of the Pancreas (Insulinoma) 65 Renal Abscess 100 Gossypiboma (Textiloma or Retained Surgical Sponge) 149 Tuberculous Epididymo-Orchitis 141 Mature Cystic Teratoma (Dermoid Cyst)

Stay updated, free articles. Join our Telegram channel
Tags:
Dec 26, 2015 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on 68 Lymphoma (Non-Hodgkin Type) Involving the Kidney

Full access? Get Clinical Tree
Get Clinical Tree app for offline access