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Difference between revisions of "Retroperitoneal fibrosis"
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Retroperitoneal fibrosis (view source)
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==General== | ==General== | ||
*May cause obstructive uropathy.<ref name=pmid19668300/> | *May cause obstructive uropathy.<ref name=pmid19668300/> | ||
*One of the many [[IgG4-related systemic disease]]s.<ref name=pmid18609677>{{Cite journal | last1 = Kamisawa | first1 = T. | last2 = Okamoto | first2 = A. | title = IgG4-related sclerosing disease. | journal = World J Gastroenterol | volume = 14 | issue = 25 | pages = 3948-55 | month = Jul | year = 2008 | doi = | PMID = 18609677 }}</ref> | |||
*No standard diagnostic criteria.<ref name=pmid23597969>{{Cite journal | last1 = Scheel | first1 = PJ. | last2 = Feeley | first2 = N. | title = Retroperitoneal fibrosis. | journal = Rheum Dis Clin North Am | volume = 39 | issue = 2 | pages = 365-81 | month = May | year = 2013 | doi = 10.1016/j.rdc.2013.02.004 | PMID = 23597969 }}</ref> | |||
Treatment: | Treatment:<ref name=pmid23597969/> | ||
*Immunosuppression. | *Immunosuppression. | ||
*Ureteral stents - to avoid [[renal failure]]. | |||
==Microscopic== | ==Microscopic== | ||
Features:<ref>URL: [http://www.mypacs.net/cases/RETROPERITONEAL-FIBROSIS-17484372.html http://www.mypacs.net/cases/RETROPERITONEAL-FIBROSIS-17484372.html]. Accessed on: 20 October 2011.</ref><ref name=pmid19668300>{{Cite journal | last1 = Rodríguez Jornet | first1 = A. | last2 = Andreu Navarro | first2 = FJ. | last3 = Orellana Fernández | first3 = R. | last4 = Ibeas López | first4 = J. | last5 = García García | first5 = M. | title = [Idiopathic retroperitoneal fibrosis: clinico-pathological characteristics]. | journal = Nefrologia | volume = 29 | issue = 4 | pages = 298-303 | month = | year = 2009 | doi = 10.3265/Nefrologia.2009.29.4.5344.en.full | PMID = 19668300 }} | Features:<ref>URL: [http://www.mypacs.net/cases/RETROPERITONEAL-FIBROSIS-17484372.html http://www.mypacs.net/cases/RETROPERITONEAL-FIBROSIS-17484372.html]. Accessed on: 20 October 2011.</ref><ref name=pmid19668300>{{Cite journal | last1 = Rodríguez Jornet | first1 = A. | last2 = Andreu Navarro | first2 = FJ. | last3 = Orellana Fernández | first3 = R. | last4 = Ibeas López | first4 = J. | last5 = García García | first5 = M. | title = [Idiopathic retroperitoneal fibrosis: clinico-pathological characteristics]. | journal = Nefrologia | volume = 29 | issue = 4 | pages = 298-303 | month = | year = 2009 | doi = 10.3265/Nefrologia.2009.29.4.5344.en.full | PMID = 19668300 }} | ||
</ref> | </ref> | ||
*Fibrous tissue (pink background) with inflammatory cells | *Fibrous tissue (pink background) with inflammatory cells (plasma cells, benign lymphocytes and eosinophils). | ||
Images: | Note: | ||
*Entrapped adipocytes (white open spaces) are common. | |||
===Images=== | |||
www: | |||
*[http://www.mypacs.net/cases/RETROPERITONEAL-FIBROSIS-17484372.html Retroperiteonal fibrosis (mypacs.net)]. | *[http://www.mypacs.net/cases/RETROPERITONEAL-FIBROSIS-17484372.html Retroperiteonal fibrosis (mypacs.net)]. | ||
==Sign out== | |||
<pre> | |||
A. KIDNEY, RIGHT, RADICAL NEPHRECTOMY: | |||
- SEVERE PYELONEPHRITIS, CHRONIC ACTIVE. | |||
- EXTENSIVE TOTAL SCLEROSIS OF GLOMERULI AND INTERSTITIAL FIBROSIS (END-STAGE KIDNEY). | |||
- PERIRENAL FAT WITH FOCI OF FAT NECROSIS, FIBROSIS AND A MIXED INFLAMMATORY | |||
INFILTRATE WITH PLASMA CELLS. | |||
- NEGATIVE FOR MALIGNANCY. | |||
B. SOFT TISSUE, RETROPERITONEUM, BIOPSY: | |||
- FIBROTIC SOFT TISSUE WITH A MINIMAL FOCAL LYMPHOCYTIC INFILTRATE. | |||
- NEGATIVE FOR MALIGNANCY. | |||
</pre> | |||
==See also== | ==See also== | ||
*[[Riedel thyroiditis]]. | *[[Riedel thyroiditis]]. | ||
*[[IgG4-related systemic disease]]. | |||
==References== | ==References== | ||