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(Chest. 1974;66:722-723.)
© 1974 American College of Chest Physicians

Hypernephroma: A Rare Cause of Bilateral Adenopathy, and an Example of the Importance of Tissue Diagnosis in Suspected Cases of Sarcoidosis

Arfa Khan M.B.1 and Faroque A. Khan M.B., F.C.C.P.2

1 Department of Radiology, The Long Island Jewish-Hillside Medical Center, New Hyde Park, New York
2 The Division of Pulmonary Medicine, Queens Hospital Center Affliation, Long Island Jewish-Hillside Medical Center, Queens, New York, The School of Medicine, Health Sciences Center, State University of New York at Stony Brook

A 52-year-old white man with minimal symptoms consisting only of weakness and cough, manifested as his only intial clinical abnormality the radiographic finding of bilateral hilar adenopathy resembling sarcoidosis. Unexpectedly, the diagnosis of lymph nodes obtained at scalene node biopsy was metastatic hypernephroma, and thereafter the primary tumor was localized in the left kidney. We emphasize the rarity of this radiographic manifestation and stress the necessity of obtaining tissure confirmation of sarcoidosis in patients in whom the disease is suspected radiographically due to the finding of bilateral hilar adenopathy.




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