Table 1. Differential diagnoses in patients with renal masses based on clinico-radiological characteristics*.
Symptoms | Differential diagnoses | ||||
Renal TB | Urothelial carcinoma | Renal cancer | Xanthogranulomatous pyelonephritis | Malakoplakia | |
Fever | ± | ± | ± | + | + |
Hematuria | + | + | + | + | + |
Leukocytosis | - | - | - | + | ± |
Weight loss | ± | ± | + | + | - |
Anemia | - | ± | + | ± | - |
Pain | ± | + | + | + | + |
Macroscopic appearance | Yellowish-white lesions | Urinary tract infiltrating mass | Depending on the type of cancer | Yellowish-necrotic | Yellowish infiltrate |
Imaging | Parenchymatous scars and calcifications | Solid mass in the urinary tract | Solid renal mass | A heterogenous unilateral mass associated with renal calculus | Cystic or solid mass, usually unilateral |
Invasion into neighboring structures | + | + | ± | ± | ± |