Renal epitelial neoplasia associated with Kimura disease.
OBJECTIVE
To present a case of Kimura disease associated with kidney epithelial neoplasia. Kimura disease is a rare inflammatory disease, which usually presents with enlarged lymph nodes and masses in the head and neck regions. The differential diagnosis should include lymphomas, reaction lymphadenopathy to drugs or parasites. Amid the masses and enlarged lymph nodes a nodule suggestive of neoplasm can be found. There is a case, in the literature that describes Kimura Disease associated with kidney neoplasm.


METHODS
We present the case of a young female patient who showed intra and retroperitoneal nodulations, including one in the lower pole of left kidney. After the period of treatment with corticoids, computed tomography of abdomen confirmed the permanence of the lesion with features of malignancy. A partial left nephrectomy was performed, and postoperative evolution was favorable.


RESULTS
The patient is without signs of Kimura Disease and no signs of recurrence of the tumor after a period of 18 months from surgery.


CONCLUSIONS
Kimura disease is associated with some neoplasias that should be investigated by the medical team. Partial nephrectomy seems a good therapeutic option for well-defined neoplastic nodules located on renal poles.
de Castro
Hilario Antonio
HA
Felicio Rocho Hospital, Belo Horizonte, Minas Gerais, Brasil. hilario.castro@sbu.org.br
Lasmar
Marco Túlio Coelho
MT
de Souza
Eugenio Augusto Costa
EA
Figueiredo
Juliano Alves
JA
Nogueira
Breno Diniz
BD
Tardelli
Fernando Carboni
FC
D000796:Angiolymphoid Hyperplasia with Eosinophilia / Q000150:complications*; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000150:complications*; D055815:Young Adult