The Diagnosis And Treatment For Xanthogranulomatous Pyelonephritis(Report Of 19 Cases)

ObjectiveTo elevate the methods of diagnosis and treatment for xanthogranulomatous pyelonephritis(XGP).Methods19 cases of XGP were retrospectively reviewed. 3 case were diagnosed with the combined use of ultrasonography and fine needle aspiration. 17 cases were treated surgically including partial nephrectomy in 3, total nephrectomy in 8 and radical nephrectomy in 6. The other case received antibiotics with complete resolution.Results17 cases of patient with XGP confirmed by histopathological examination recovered well after operation, and did not relapse within 5～115 months.ConclusionAccording to medical history, symptom, physical sign, the foam cells in urine and CT examination, XGP could be diagnosed. Sometimes, fine needle aspiration biopsy should be done in order to confirm the diagnosis of XGP. The operation was a major method for treating this disease.