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Year : 2023  |  Volume : 39  |  Issue : 2  |  Page : 157-159

Primary retroperitoneal fibrosis presenting as a renal mass

1 Department of Urology, AIIMS, Jodhpur, Rajasthan, India
2 Department of Pathology, AIIMS, Jodhpur, Rajasthan, India

Correspondence Address:
Rahul Jena
Department of Urology, AIIMS, Jodhpur, Rajasthan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/iju.iju_391_22

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A 67-year-old male was incidentally found to have a large left perinephric mass with a poorly functioning left kidney. A differential diagnosis of renal cell carcinoma, lymphoma, retroperitoneal fibrosis (RPF), and IgG4 renal disease was suggested on imaging studies and biopsy of the mass. A left radical nephrectomy was performed as malignancy could not be ruled out. The final diagnosis was RPF without periaortitis and the patient is doing well at 9 months of follow-up. RPF, although characterized as a manifestation of periaortitis and large vessel vasculitis, might also present as an isolated perinephric mass without aortic involvement. Surgical management is an alternative, especially when malignancy is suspected.

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