title: [Urogenital lymphoma presenting with obstructive anuria].
abstract: The authors report a case of urogenital lymphoma with multiple sites in a patient presenting with oligo-anuria. Clinical examination revealed a hard hypogastric and prostatic mass and an enlarged left scrotum. Abdominopelvic and scrotal ultrasound demonstrated a prostatic tumour, a hypogastric mass, hepatic nodular lesions and coeliac lymphadenopathy with bilateral ureterohydronephrosis and a heterogeneous intrascrotal mass in contact with the lower pole of the left testis. The laboratory assessment revealed severe renal failure. After a haemodialysis session and ultrasound-guided right percutaneous nephrostomy, pelvic magnetic resonance imaging (MRI) showed a very large pelvic mass between the bladder and the rectum and transrectal biopsy of the mass confirmed the diagnosis of high-grade malignant non-Hodgkin's lymphoma (NHL) with a type B lymphoblastic phenotype. Treatment consisted of chemotherapy according to the LMB 93 protocol. The course was favourable with return of normal renal function and complete remission 1 month after induction. The patient is currently in complete remission with a follow-up of 12 months. In the light of this case and a review of the literature, the authors discuss the diagnostic, therapeutic and prognostic aspects of this rare site of lymphoma.
authors.affiliation: Service d'Urologie, CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: Redouane
authors.initials: R
authors.lastname: Rabii
authors.forename: Mohamed Hicham
authors.initials: MH
authors.lastname: Mezzour
authors.forename: Hicham
authors.initials: H
authors.lastname: Guessous
authors.forename: Hicham
authors.initials: H
authors.lastname: Essaki
authors.forename: Abdenbi
authors.initials: A
authors.lastname: Joual
authors.forename: Mohamed
authors.initials: M
authors.lastname: Rachid
authors.forename: Asmaa
authors.initials: A
authors.lastname: Quessar
authors.forename: Said
authors.initials: S
authors.lastname: Benchekroun
authors.forename: Mohamed
authors.initials: M
authors.lastname: El Mrini
mesh_terms: D000328:Adult; D001002:Anuria / Q000209:etiology*; D006801:Humans; D008297:Male; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications*; D014517:Ureteral Obstruction / Q000150:complications; D014565:Urogenital Neoplasms / Q000150:complications*