Focal xanthogranulomatous pyelonephritis: diagnostic and therapeutic aspects.
The authors report 2 cases of localized xanthogranulomatous pyelonephritis (XGP) in which computed tomography (CT) permitted to raise a motivated clinical suspicion of inflammatory disease: the surgical exploration documented absence of neoplasm and allowed a conservative therapy implying only the removal of the mass. A literature review confirms that some CT signs in XGP permit differentiation from carcinoma. If they are present, in unifocal cases of disease, the authors suggest a limited surgical approach and a therapeutic strategy as conservative as possible.
Di Tonno
F
F
Department of Urology, University of Padua, Italy.
Capizzi
G
G
Laurini
L
L
Costa
G
G
Zennari
R
R
Dall'Orso
E
E
Artibani
W
W
Lavelli
D
D
D005260:Female; D006801:Humans; D008875:Middle Aged; D011705:Pyelonephritis, Xanthogranulomatous / Q000000981:diagnostic imaging* / Q000601:surgery*; D014057:Tomography, X-Ray Computed