“…Aggressive chemotherapy regimens with or without radiotherapy, preferably per formed at full dose with haematopoietic grow factors, are regarded as the most effec tive treatment of NHL. even in the presence of renal extension [5][6][7], but relapse is fre quent and long-term patient survival re mains poor [8,9], In our observation, the patient was apparently free of the disease 26 months after the beginning of treatment but, in contrast with other reports in the lit erature [4][5][6], renal function did not im prove, possibly as a consequence of the se vere associated cell interstitial infiltrate. Considering these favourable initial results, we suggest the need for repeated and/or echo-guided renal biopsy in the presence of acute renal failure with enlarged kidneys, and the efficiency of high-dose chemothera py in high-grade NHL complicated by renal failure.…”
“…Aggressive chemotherapy regimens with or without radiotherapy, preferably per formed at full dose with haematopoietic grow factors, are regarded as the most effec tive treatment of NHL. even in the presence of renal extension [5][6][7], but relapse is fre quent and long-term patient survival re mains poor [8,9], In our observation, the patient was apparently free of the disease 26 months after the beginning of treatment but, in contrast with other reports in the lit erature [4][5][6], renal function did not im prove, possibly as a consequence of the se vere associated cell interstitial infiltrate. Considering these favourable initial results, we suggest the need for repeated and/or echo-guided renal biopsy in the presence of acute renal failure with enlarged kidneys, and the efficiency of high-dose chemothera py in high-grade NHL complicated by renal failure.…”
“…Lymphoma infiltration may affect the kidneys either primarily or secondarily [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15]. Other studies have reported a frequency of kidney involvement ranging from 0.8 to 49% [2,12,13,14, 17].…”
Section: Discussionmentioning
confidence: 99%
“…Renal involvement as the only site (primary renal lymphoma) is a rare entity [3,4,5,6,7,8,9,10]. Usually, renal infiltration is reported as a consequence of advanced disease [11,12,13,14,15].…”
Objective: To evaluate renal involvement in childhood lymphoma and define its prognostic effects. Patients and Methods: One hundred and four patients with non-Hodgkin’s lymphoma and renal involvement on admission to a single center between 1972 and 2003 were evaluated retrospectively. Blood urea nitrogen, serum creatinine, uric acid, electrolytes, and lactate dehydrogenase levels, as well as urinalysis, were evaluated. One or more of the following imaging methods were performed: intravenous urogram, ultrasound, computed tomography, and magnetic resonance imaging. The χ2 test was used to compare the groups. The Kaplan-Meier survival method was used to calculate survival rates, and the log-rank test was used to compare groups with respect to survival. Survival rates were also compared in two different time periods (before 1991 and after 1991). Results: There were 76 boys and 28 girls with a median age of 6 (0.9–16) years. The renal infiltration pattern was nodular in 62 patients (59.6%) and diffuse in 40 patients (38.5%). Two patients had tumoral masses that originated from their kidneys (1.9%). Renal involvement was bilateral in 75 patients (72.1%); the remaining 29 patients had unilateral involvement. The overall survival rate was 42.5% with a median follow-up of 64 months. The factors that had a statistically significant impact on survival were high creatinine (p = 0.00001) and blood urea nitrogen levels (p = 0.0001), the onset of tumor lysis syndrome (p = 0.01), and the need for dialysis (p = 0.009). The survival rate was higher in the time period after 1991 (p = 0.01). Conclusion: Impaired renal function is a poor prognostic factor for non-Hodgkin’s lymphoma. Renal function should therefore be monitored closely. Renal dysfunction caused by direct tumoral involvement may complicate therapy and shorten survival.
“…[1][2][3][4][5][6][7][8][9][10][11][12] Furthermore, primary renal lymphoma, accounting for 0.1-0.7% of extranodal lymphomas, can also be a very rare cause of ARF. [13][14][15][16][17][18][19] To date, approximately 150 glomerulonephropathy cases have been reported among all cases with Hodgkin's lymphoma (HL) and non-Hodgkin's lymphoma (non-HL), and 6.8% of them were reported as membranous glomerulonephritis (MGN). This rate is about 5% in HL cases, and only 5 MGN cases have been reported to date.…”
Although acute renal failure developing due to malignancies is a frequent condition, malignant renal infiltration is rarely observed among these causes. Among all malignant diseases, the hematolymphoid malignancies are the most prone to renal infiltration. Other types involved in cases with lymphoma are glomerulopathies, including immune-complex glomerular diseases such as minimal change disease, membranous glomerulonephritis, membranoproliferative glomerulonephritis, and focal segmental glomerulosclerosis. We present herein the rare case of a 22-year-old male with both membranous glomerulonephritis and CD20 (+) lymphoid infiltration related to Hodgkin's lymphoma in the renal interstitial tissue, as detected on biopsy. The patient was treated with adriamycin, bleomycin, vinblastine, and dacarbazine protocol after pulse corticosteroid treatment, and a dramatic improvement in renal function was observed after 2 days of treatment. In this article, an exceptional renal involvement of Hodgkin's lymphoma is discussed in light of the related literature.
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