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Primary B-cell lymphoma of the renal pelvis following robotic nephroureterectomy: a case report.

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BMC urology 📖 저널 OA 100% 2023: 1/1 OA 2025: 32/32 OA 2026: 21/21 OA 2023~2026 2025 Vol.25(1) p. 279
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McMaster T, Hoskin G, Neerhut T, Malacria L, Farag M, Wang L

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[BACKGROUND] We present a rare case of Primary Renal Lymphoma (PRL) diagnosed on histopathology following robotic nephroureterectomy.

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APA McMaster T, Hoskin G, et al. (2025). Primary B-cell lymphoma of the renal pelvis following robotic nephroureterectomy: a case report.. BMC urology, 25(1), 279. https://doi.org/10.1186/s12894-025-01968-4
MLA McMaster T, et al.. "Primary B-cell lymphoma of the renal pelvis following robotic nephroureterectomy: a case report.." BMC urology, vol. 25, no. 1, 2025, pp. 279.
PMID 41214593 ↗

Abstract

[BACKGROUND] We present a rare case of Primary Renal Lymphoma (PRL) diagnosed on histopathology following robotic nephroureterectomy. This case explores the diagnostic and management challenges urologists face, when treating renal masses.

[CASE PRESENTATION] An 82-year-old male presented with recurrent macroscopic haematuria and a computed tomography intravenous pyelogram (CT IVP) reported renal papillary necrosis and an associated mass effect at the right renal pelvis. Urine cytology was inconclusive, whilst inpatient pyeloscopy revealed a renal pelvis tumour. This was biopsied and reported as suspicious for urothelial carcinoma. Multidisciplinary team discussion (MDT) recommended curative surgery. Following right nephroureterectomy, postoperative histology revealed a diffuse large B-Cell lymphoma (DLBCL) extending through the renal capsule into perirenal fat, renal vein and renal pelvis.

[CONCLUSION] We highlight the clinical similarities between upper tract urothelial carcinoma (UTUC) and PRL, encouraging urologists to consider biopsies of indeterminate lesions, particularly amongst the frail population.

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