Inflammatory pseudotumors of the kidney and the lung presenting as immunoglobulin G4-related disease: a case report View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2011-12

AUTHORS

Genya Nishikawa, Kogenta Nakamura, Yoshiaki Yamada, Takahiko Yoshizawa, Yoshiharu Kato, Remi Katsuda, Kenji Zennami, Motoi Tobiume, Shigeyuki Aoki, Tomohiro Taki, Nobuaki Honda

ABSTRACT

INTRODUCTION: It has been reported that immunoglobulin G4-related systemic disease can spread to nearly every organ, and often presents as an inflammatory mass or masses at those sites. In the kidney, this disease is often diagnosed after a radical or partial nephrectomy following the discovery of an inflammatory mass which is often suspected to be a malignant tumor. Here, we present a rare case of inflammatory pseudotumors of the kidney and the lung presenting as immunoglobulin G4-related disease, which were diagnosed by computed tomography-guided biopsies. CASE PRESENTATION: A 54-year-old Japanese man was referred to our hospital with suspected bilateral renal cancer, multiple lung metastases and autoimmune pancreatitis. His serum immunoglobulin G4 level was high. We used computed tomography-guided biopsies and histopathological examinations of the biopsied specimens to diagnose the tumors as immunoglobulin G4-related bilateral renal and lung inflammatory pseudotumors. Our patient was treated with oral prednisolone, and after one month of treatment, contrast-enhanced computed tomography demonstrated a general improvement, as noted by a reduction in size of the masses. CONCLUSION: Renal masses that are formed due to immunoglobulin G4-related disease require comprehensive diagnosis to prevent unnecessary surgical resections from being performed. Further consideration should be paid to immunoglobulin G4-related diseases in the future. More... »

PAGES

480

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1752-1947-5-480

DOI

http://dx.doi.org/10.1186/1752-1947-5-480

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1041169823

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21943114


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