Xanthogranulomatous Pyelonephritis

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Luis M. Perez - One of the best experts on this subject based on the ideXlab platform.

Lingyu Yang - One of the best experts on this subject based on the ideXlab platform.

  • Xanthogranulomatous Pyelonephritis treated by partial nephrectomy
    Pediatric Nephrology, 2004
    Co-Authors: Jeiwen Chang, Shujen Chen, Taiwai Chin, Hsin Lin Tsai, Chinchen Pan, Yumkung Chu, Chuimei Tiu, Lingyu Yang
    Abstract:

    Xanthogranulomatous Pyelonephritis is an uncommon disease in children. We report of a 2-month-old girl with urinary tract infection and with a renal mass detected by ultrasound scan. The preoperative differential diagnoses were Wilms tumor, multicystic dysplastic kidney, renal abscess, and mesoplastic nephroma. The subsequent histopathological findings allowed the diagnosis of Xanthogranulomatous Pyelonephritis (XGP). Although XGP is rare at this age, it must be considered in the differential diagnosis of a child presenting with renal mass, either with or without associated urolithiasis, anemia, and elevated inflammatory markers. The long-standing mainstay of therapy for diffuse XGP has been nephrectomy. However, we report the successful preservation of renal mass with partial nephrectomy for diffuse XGP. The affected kidney grew normally and preserved residual function after the operation. Hence we strongly suggest parenchymal saving in pediatric cases of XGP to preserve renal function.

Elizabeth Mroczek-musulman - One of the best experts on this subject based on the ideXlab platform.

Emiko Shimonaka - One of the best experts on this subject based on the ideXlab platform.

  • Fine-needle aspiration cytology of Xanthogranulomatous Pyelonephritis.
    Urology, 1991
    Co-Authors: Shigeyuki Sugie, Takuji Tanaka, Akiyoshi Nishikawa, Naoki Yoshimi, Kazuo Kato, Hideki Mori, Toshimi Takeuchi, Emiko Shimonaka
    Abstract:

    Fine-needle aspiration cytology of Xanthogranulomatous Pyelonephritis in a fifty-seven-year-old Japanese woman is reported. Foamy cells and cells showing a gland-like pattern originating from degenerative renal tubules were found in the aspirated smears. Multinucleated giant cells and cells with pale yellowish cytoplasm were seen in the imprint smears at operation. These findings were diagnostic for Xanthogranulomatous Pyelonephritis. The cytologic diagnostic differences among Xanthogranulomatous Pyelonephritis, well-differentiated renal cell carcinoma, and renal oncocytoma are also described.

Jeiwen Chang - One of the best experts on this subject based on the ideXlab platform.

  • Xanthogranulomatous Pyelonephritis treated by partial nephrectomy
    Pediatric Nephrology, 2004
    Co-Authors: Jeiwen Chang, Shujen Chen, Taiwai Chin, Hsin Lin Tsai, Chinchen Pan, Yumkung Chu, Chuimei Tiu, Lingyu Yang
    Abstract:

    Xanthogranulomatous Pyelonephritis is an uncommon disease in children. We report of a 2-month-old girl with urinary tract infection and with a renal mass detected by ultrasound scan. The preoperative differential diagnoses were Wilms tumor, multicystic dysplastic kidney, renal abscess, and mesoplastic nephroma. The subsequent histopathological findings allowed the diagnosis of Xanthogranulomatous Pyelonephritis (XGP). Although XGP is rare at this age, it must be considered in the differential diagnosis of a child presenting with renal mass, either with or without associated urolithiasis, anemia, and elevated inflammatory markers. The long-standing mainstay of therapy for diffuse XGP has been nephrectomy. However, we report the successful preservation of renal mass with partial nephrectomy for diffuse XGP. The affected kidney grew normally and preserved residual function after the operation. Hence we strongly suggest parenchymal saving in pediatric cases of XGP to preserve renal function.