Open Access

Large renal lymphoma in a patient with horseshoe kidney: A case report

  • Authors:
    • Francesco Iovino
    • Federico Maria Mongardini
    • Giovanni Balestrucci
    • Alfonso Regginelli
    • Andrea Ronchi
    • Maria Giovanna Ferrara
    • Simona Parisi
    • Claudio Gambardella
    • Francesco Saverio Lucido
    • Salvatore Tolone
    • Roberto Ruggiero
    • Ludovico Docimo
  • View Affiliations

  • Published online on: December 7, 2023     https://doi.org/10.3892/ol.2023.14180
  • Article Number: 46
  • Copyright: © Iovino et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Horseshoe kidney (HSK) is the most common renal fusion anomaly. It frequently consists of kidney fusion in the lower pole across the midline and occurs during embryogenesis. The incidence of malignancies in HSKs can be 3‑4 times higher than that in normal kidneys. A 69‑year‑old man with a voluminous right kidney neoplasm in HSK and a single omolateral axillary lymphadenopathy underwent complete excision of right axillary lymphadenopathy and ultrasound‑guided percutaneous biopsy of the right kidney expansive lesion. The diagnosis of non‑Hodgkin's B cell lymphoma both in HSK and right axilla was made. We report this case to raise awareness among physicians regarding the importance of a correct clinical evaluation and diagnostic workup so as to avoid surgery, which is not easy and without complications, in patients with this kidney anomaly. Primary renal lymphoma should also be included among possible neoplasms of HSK. Renal biopsy should always be recommended in cases where atypical findings are obtained from imaging techniques and when its outcome can impact clinical decision‑making. In the present case, biopsy was performed, and thus, nephrectomy was avoided and specific medical therapy was quickly started.
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February-2024
Volume 27 Issue 2

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Spandidos Publications style
Iovino F, Mongardini FM, Balestrucci G, Regginelli A, Ronchi A, Ferrara MG, Parisi S, Gambardella C, Lucido FS, Tolone S, Tolone S, et al: Large renal lymphoma in a patient with horseshoe kidney: A case report. Oncol Lett 27: 46, 2024.
APA
Iovino, F., Mongardini, F.M., Balestrucci, G., Regginelli, A., Ronchi, A., Ferrara, M.G. ... Docimo, L. (2024). Large renal lymphoma in a patient with horseshoe kidney: A case report. Oncology Letters, 27, 46. https://doi.org/10.3892/ol.2023.14180
MLA
Iovino, F., Mongardini, F. M., Balestrucci, G., Regginelli, A., Ronchi, A., Ferrara, M. G., Parisi, S., Gambardella, C., Lucido, F. S., Tolone, S., Ruggiero, R., Docimo, L."Large renal lymphoma in a patient with horseshoe kidney: A case report". Oncology Letters 27.2 (2024): 46.
Chicago
Iovino, F., Mongardini, F. M., Balestrucci, G., Regginelli, A., Ronchi, A., Ferrara, M. G., Parisi, S., Gambardella, C., Lucido, F. S., Tolone, S., Ruggiero, R., Docimo, L."Large renal lymphoma in a patient with horseshoe kidney: A case report". Oncology Letters 27, no. 2 (2024): 46. https://doi.org/10.3892/ol.2023.14180