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A Possible Explanation for the Difficulties in Diagnosis

DAVID GREENBERG, M.D.; CHARLES NEY, M.D.; JOSEPH S. FEIBUSH, M.D.

AMA Arch Intern Med. 1952;90(3):395-401.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IT IS WELL known that malignant tumors of the kidneys are particularly prone to cause fever.¹ However, in those cases of fever caused by renal carcinoma, the diagnosis is extremely difficult and often missed. We believe the difficulties arise because in many of these cases the kidney tumors may cause little or no defect in the pelves or calyces. They apparently expand laterally rather than medially, and, therefore, the only change in the pyelogram may be a displacement of the kidney or an increase in its size.

To substantiate this concept, we have analyzed the cases in the literature in which retrograde pyelograms have been done and are reporting one case of our own.

ANALYSIS OF LITERATURE

In analyzing the literature, it is necessary to limit the discussion to those cases completely studied, especially with reference to retrograde pyelograms.

Creevy^1d presented two cases of fever with hypernephroma. The . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

From the Departments of Medicine and Urology, Lebanon Hospital.

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