Open AccessThe Value of Imaging Methods in the Diagnosis of the Renal Cell Carcinoma Combined with Renal Tuberculosis – Case Report
Author(s) -
T. Tsocheva,
R. Djerassi,
Aleksandrina Vlahova,
Mila Liubomirova,
Boris Bogov
Publication year - 2013
Publication title -
open access macedonian journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.288
H-Index - 17
ISSN - 1857-9655
DOI - 10.3889/oamjms.2013.018
Subject(s) - medicine , caseous necrosis , granuloma , renal cell carcinoma , epithelioid cell , giant cell , pathology , tuberculosis , histiocyte , malakoplakia , radiology , immunohistochemistry
We describe a case of renal cell carcinoma which causes difficulties to set diagnosis with imaging methods. The histological examination revealed renal cell carcinoma associated with epithelioid cell granuloma with caseous necrosis. Granulomatous inflammation is characterized by the accumulation of epithelioid histiocytes and multinucleated giant cells. The cause of granuloma formation can be infectious or non-infectious. Granulomatous response in renal cell carcinoma is rare. This case shows that for accurate diagnosis for suspected tumor is necessary to be used combination of complex imaging - triplex ultrasound, CEUS, CT and histological examination