Case Report: Robot-assisted laparoscopic nephron-sparing surgery for a renal abscess mimicking a tumor
The differential diagnosis of renal tumors and abscesses is crucial owing to their different treatments. Although antibacterial administration and radiological examination are excellent means for distinction, misdiagnosis is common and may lead to severe consequences, such as the need for nephrectom...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-10-01
|
| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.1027571/full |
| _version_ | 1797989862689734656 |
|---|---|
| author | Shun Wang Xiangyi Liang Di Pan Jianqing Zhang Kun Chen Kehua Jiang Tao Li Tao Li |
| author_facet | Shun Wang Xiangyi Liang Di Pan Jianqing Zhang Kun Chen Kehua Jiang Tao Li Tao Li |
| author_sort | Shun Wang |
| collection | DOAJ |
| description | The differential diagnosis of renal tumors and abscesses is crucial owing to their different treatments. Although antibacterial administration and radiological examination are excellent means for distinction, misdiagnosis is common and may lead to severe consequences, such as the need for nephrectomy. Here, we report a case involving a 52-year-old Asian woman with a renal mass for which a differential diagnosis was challenging. The mass persisted after administration of intravenous antibiotic therapy for 1 month. A computed tomography scan indicated an inflammatory lesion, whereas magnetic resonance imaging suggested a diagnosis of a tumor. Despite these indications, a right renal abscess was suspected during robot-assisted laparoscopic surgery, and nephron-sparing surgery was performed, which allowed confirmation of the final pathological result by biopsy specimen. Postoperatively, the mass gradually decreased in size after antibiotic therapy for a further month. This case, in which a renal abscess mimicked a tumor and the patient almost underwent a nephrectomy, highlights the need for caution in establishing therapeutic schedules for patients with inaccurate diagnoses. The management strategies for such patients must be reviewed and improved. |
| first_indexed | 2024-04-11T08:26:14Z |
| format | Article |
| id | doaj.art-d81fec3785ec4eb7ac3f15ad9e2b6d55 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-11T08:26:14Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-d81fec3785ec4eb7ac3f15ad9e2b6d552022-12-22T04:34:44ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-10-011210.3389/fonc.2022.10275711027571Case Report: Robot-assisted laparoscopic nephron-sparing surgery for a renal abscess mimicking a tumorShun Wang0Xiangyi Liang1Di Pan2Jianqing Zhang3Kun Chen4Kehua Jiang5Tao Li6Tao Li7Department of Urology, Guizhou Provincial People’s Hospital, Guiyang, ChinaDepartment of Urology, Guizhou Provincial People’s Hospital, Guiyang, ChinaDepartment of Urology, Guizhou Provincial People’s Hospital, Guiyang, ChinaZunyi Medical University, Zunyi, ChinaPrenatal Diagnosis Center, Guizhou Provincial People’s Hospital, Guiyang, ChinaDepartment of Urology, Guizhou Provincial People’s Hospital, Guiyang, ChinaDepartment of Urology, Guizhou Provincial People’s Hospital, Guiyang, ChinaDepartment of Urology, Affiliated Hospital of Guizhou Medical University, Guiyang, ChinaThe differential diagnosis of renal tumors and abscesses is crucial owing to their different treatments. Although antibacterial administration and radiological examination are excellent means for distinction, misdiagnosis is common and may lead to severe consequences, such as the need for nephrectomy. Here, we report a case involving a 52-year-old Asian woman with a renal mass for which a differential diagnosis was challenging. The mass persisted after administration of intravenous antibiotic therapy for 1 month. A computed tomography scan indicated an inflammatory lesion, whereas magnetic resonance imaging suggested a diagnosis of a tumor. Despite these indications, a right renal abscess was suspected during robot-assisted laparoscopic surgery, and nephron-sparing surgery was performed, which allowed confirmation of the final pathological result by biopsy specimen. Postoperatively, the mass gradually decreased in size after antibiotic therapy for a further month. This case, in which a renal abscess mimicked a tumor and the patient almost underwent a nephrectomy, highlights the need for caution in establishing therapeutic schedules for patients with inaccurate diagnoses. The management strategies for such patients must be reviewed and improved.https://www.frontiersin.org/articles/10.3389/fonc.2022.1027571/fullrenal abscessrenal tumorantibiotic therapyRA-NSSdistinguish |
| spellingShingle | Shun Wang Xiangyi Liang Di Pan Jianqing Zhang Kun Chen Kehua Jiang Tao Li Tao Li Case Report: Robot-assisted laparoscopic nephron-sparing surgery for a renal abscess mimicking a tumor Frontiers in Oncology renal abscess renal tumor antibiotic therapy RA-NSS distinguish |
| title | Case Report: Robot-assisted laparoscopic nephron-sparing surgery for a renal abscess mimicking a tumor |
| title_full | Case Report: Robot-assisted laparoscopic nephron-sparing surgery for a renal abscess mimicking a tumor |
| title_fullStr | Case Report: Robot-assisted laparoscopic nephron-sparing surgery for a renal abscess mimicking a tumor |
| title_full_unstemmed | Case Report: Robot-assisted laparoscopic nephron-sparing surgery for a renal abscess mimicking a tumor |
| title_short | Case Report: Robot-assisted laparoscopic nephron-sparing surgery for a renal abscess mimicking a tumor |
| title_sort | case report robot assisted laparoscopic nephron sparing surgery for a renal abscess mimicking a tumor |
| topic | renal abscess renal tumor antibiotic therapy RA-NSS distinguish |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.1027571/full |
| work_keys_str_mv | AT shunwang casereportrobotassistedlaparoscopicnephronsparingsurgeryforarenalabscessmimickingatumor AT xiangyiliang casereportrobotassistedlaparoscopicnephronsparingsurgeryforarenalabscessmimickingatumor AT dipan casereportrobotassistedlaparoscopicnephronsparingsurgeryforarenalabscessmimickingatumor AT jianqingzhang casereportrobotassistedlaparoscopicnephronsparingsurgeryforarenalabscessmimickingatumor AT kunchen casereportrobotassistedlaparoscopicnephronsparingsurgeryforarenalabscessmimickingatumor AT kehuajiang casereportrobotassistedlaparoscopicnephronsparingsurgeryforarenalabscessmimickingatumor AT taoli casereportrobotassistedlaparoscopicnephronsparingsurgeryforarenalabscessmimickingatumor AT taoli casereportrobotassistedlaparoscopicnephronsparingsurgeryforarenalabscessmimickingatumor |