Nephritis and kidney cancer which is fierce?

summary

The differentiation of renal cell carcinoma and other diseases has always been indispensable in the diagnosis of renal cell carcinoma. It helps patients recover faster. Now let's talk about which is worse, nephritis or renal cell carcinoma?.

Nephritis and kidney cancer which is fierce?

First, typical renal cysts are easy to differentiate from renal cell carcinoma on imaging examination, but when there is bleeding or infection in the cyst, it is often misdiagnosed as tumor. However, some clear cell renal carcinomas are homogeneous and weak hypoechoic, which are easy to be misdiagnosed as very common renal cysts.

Second: renal lymphoma: renal lymphoma is rare but not rare. Dimopoulos et al reported that among 210 cases of renal tumor, 6 cases were primary renal lymphoma. Tumor treatment experts said that the lack of imaging features of renal lymphoma, showing multiple nodular or diffuse wet kidney, so that the shape of the kidney increased. Retroperitoneal lymph nodes were involved. Of the 4 patients admitted to our hospital in recent years, 3 were not diagnosed preoperatively, and the other was confirmed by preoperative biopsy.

Third: in the past, it was considered that it was difficult for renal cell carcinoma patients to be cured by radiotherapy alone. This was mainly because renal cell carcinoma tissues were not sensitive to radiotherapy, and the surrounding normal tissues were not well tolerated to radiation. It was difficult to give enough radiation dose to kill tumor tissues without damage to surrounding tissues. Therefore, radiotherapy was only in an auxiliary position for the treatment of renal cell carcinoma at that time, It is mainly used as adjuvant treatment before and after operation and palliative treatment for recurrent and metastatic advanced renal cell carcinoma.

matters needing attention

This part of patients generally have the symptoms of infection, the renal area can reach the tender mass, there are a large number of white blood cells or purulent cells in the urine. As long as careful observation, differential diagnosis is not difficult.