Case Report
Copyright ©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Clin Cases. Jun 16, 2013; 1(3): 121-123
Published online Jun 16, 2013. doi: 10.12998/wjcc.v1.i3.121
Lymph node non-Hodgkin's lymphoma incidentally discovered during a nephrectomy for renal cell carcinoma
Sergio Fernandez-Pello, Luis Rodriguez Villamil, Ivan Gonzalez Rodriguez, Victoria Venta, Javier Cuervo, Carmen Luz Menéndez
Sergio Fernandez-Pello, Luis Rodriguez Villamil, Ivan Gonzalez Rodriguez, Javier Cuervo, Urology Department, Cabueñes Hospital, 33203 Gijón, Spain
Victoria Venta, Carmen Luz Menéndez, Pathology Department, Cabueñes Hospital, 33203 Gijón, Spain
Author contributions: All the authors made a significant contribution to the findings and methods in the paper; all the authors have read and approved the final paper.
Correspondence to: Dr. Sergio Fernandez-Pello, Urology Department, Cabueñes Hospital, C/Los Prados 395, 33203 Gijón, Spain. spello84@hotmail.com
Telephone: +34-67-6411324  Fax: +34-98-5367169
Received: December 27, 2012
Revised: April 29, 2013
Accepted: May 16, 2013
Published online: June 16, 2013
Processing time: 169 Days and 17.4 Hours
Abstract

We report the case of a left laparoscopic nephroureterectomy with the incidental discovery of a non-Hodgkin’s lymphoma in one of the lymph nodes of the renal hilum. A laparoscopic nephroureterectomy was decided on for a 64-year-old man. Renal cell carcinoma in the kidney and one lymph node of the renal hilum with non-Hodgkin’s lymphoma was found. Chemotherapy was not started for the lymphoma discovery. There are no signs of relapse after two years of follow up. Coexistence in the same patient is an extremely rare condition. We review the literature about this issue to clarify this association.

Keywords: Renal cell carcinoma; Lymphoma; Nephrectomy

Core tip: This is a case of a nephroureterectomy for a renal mass incidentally discovered by imaging techniques. One of the lymph nodes of the renal hilum was diagnosed as non-Hodgkin’s lymphoma B type, the patient being asymptomatic at that moment. Chemotherapy was not started and extension studies were requested.