INFLAMMATORY MYOFIBROBLASTIC TUMOUR OF THE KIDNEYS - CASE REPORT

• DOI: 10.14748/ssvs.v1i1.2606
• Publication Date: 2017-01-01
• Authors: Dimo Nikolov; Dessyslava Nikolaeva; Radi Lukanov; Ejaz Ahmed; Valentin Ikonomov
• Keywords: Contraindication; Intravenous Pyelogram

Introduction: Inflammatory myofibroblastic tumour (IMT) is a rare condition which includes proliferation of myofibroblasts accompanied with inflammatory infiltrates. It known to have wide age range and affect both males females. Although its most common site the lungs, IMT also has extrapulmonary locations often include bladder rarely kidneys. Its biological nature varies from completely benign malignant fatal outcome. Material Methods: We report case 61-year-old woman, admitted hospital high temperature anaemia, five months after left nephrectomy due kidney. The performed laboratory tests revealed significant impairment GFR anaemic syndrome. conducted MRI-scan found multiple hypodense lesions in right kidney enlarged paraaortical lymph nodes. PET-scan CT-scan confirmed findings. results examinations illustrated slow progressive chronic failure solitary kidney, suggested paraneoplastic process recurrence IMT. Results: Because CRP rates, patient underwent an antibiotic therapy Meropenem, without any clinical improvement deterioration signs inflammation. findings combined contraindication nephrectomy, because admission Prednisolone, as this type cortisol-sensitive. In connection glucocorticoids usage, scheduled for bone density test. She remains under constant observation. Conclusions : presents uncommon occurrence kidneys progression. illustrates recurrent neoplasm complications that it brings, according organs, affects.