title: Xanthogranulomatous pyelonephritis (XGPN) mimicking a "renal cell carcinoma with renal vein thrombus and paracaval lymphadenopathy".
abstract: We present a case of Xanthogranulomatous pyelonephritis mimicking as a renal cell carcinoma. This was an elderly lady who presented with pyonephrosis due to urolithiasis. On evaluation she was found to have a space occupying mass in the right kidney. Further investigations revealed an enhancing tumor with renal vein thrombus and paracaval lymphadenopathy. Subsequent histopathology showed evidence of XGPN with no malignancy. This case report highlights the fact there are a number of imaging and clinical overlaps in the diagnosis, assessment and management of this entity.
authors.affiliation: Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, 387001, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Ganpule
authors.affiliation: Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, 387001, India.
authors.forename: Jitendra
authors.initials: J
authors.lastname: Jagtap
authors.affiliation: Department of Radiology, Muljibhai Patel Urological Hospital, Nadiad, 387001, India.
authors.forename: Sanika
authors.initials: S
authors.lastname: Ganpule
authors.affiliation: Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, 387001, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Bhattu
authors.affiliation: Department of Pathology, Muljibhai Patel Urological Hospital, Nadiad, 387001, India.
authors.forename: Shailesh
authors.initials: S
authors.lastname: Soni
authors.affiliation: Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, 387001, India.
authors.forename: Ravindra
authors.initials: R
authors.lastname: Sabnis
authors.affiliation: Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, 387001, India.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Desai