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논문분류	춘계학술대회 초록집
제목	Right kidney pseudotumor and glomerulo-nephritis type Focal Segmental Glomerulo Sclerosis in a patient with type 2 diabetes
저자	RERY TF YUNIARTI
출판정보	2024; 2024(1):
키워드
초록	Introduction Inflammatory pseudotumor (IPT) is a rare benign with unknown etiology, having nonspecific symptoms such as pelvic pain, hematuria and fever. Imaging characteristics are also atypical. Focal Segmental Glomerulosclerosis (FSGS) is a histologic pattern of glomerulonephritis (GN) disease in form of glomerular injury, not a single disease, caused by multiple clinicopathologic entities with the mechanism of injury to podocytes as the main target of lesion, leading to characteristic sclerotic lesions in parts of multiple glomeruli. Case Illustration Reported a rare case of a 60-year-old woman, complaints of weakness and low back pain. Initially diagnosed: uncontrolled T2DM, Paraneoplastic Glomerulunephritis Syndrome type FSGS ec Ca Renal stage 3, but on further evaluation, the tumor was not proven. Finally, was diagnosed with controlled T2DM, GN type FSGS and pseudotumor renal repair. Discussion Vital sign within normal, BSS 367, HBA1C 14.3; urine glucose +2 and ketones +1, eGFR 84 ml/min/1.73 m2, USG: Heterogeneous solid mass in right kidney, + 5.7 x 5.4 x 6.5 cm. Suspected malignant. Contrast CT abdomen: Malignant solid mass in the inferior pole of the right kidney, + 7 x 6.5 x 8.4 cm, infiltrating fascia gerota. DD/ RCC. Perirenal and paraabdominal aortic lymphadenopathy. Renal biopsy: FSGS. Therapy, DM diet 1700 cal, Methyl prednisolone 1x4mg, myfortic 180mg 2x2 tabs, Candesartan 1x8mg, Glimepiride 1x2mg, Metformin 2x500mg. After +3 months, re-evaluated, results were very surprising because laboratory results of both blood and urine were all within normal limits, but results abdominal CT scan didn’t find a mass. Conclusion Recommended that clinicians consider PseudoTumor as a differential diagnosis of a primary renal mass. Preoperative renal biopsy is essential to avoid excessive therapy, such as nephrectomy. Although there is a known association of kidney biopsy results with renal masses especially Carcinoma known as Paraneoplastic Glomerulonephritis syndrome
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