淋巴母细胞淋巴瘤(LBL)属于高度恶性淋巴瘤,进展快、病死率高。世界卫生组织(WHO)根据免疫表型将其分为T淋巴母细胞淋巴瘤(T-LBL)和B淋巴母细胞淋巴瘤(B-LBL)两类~([1])。肾脏原发B-LBL甚为罕见,我院2015年收治1例,以肾脏侵犯为首发表现,通过肾活检确诊,现报道如下。1病历资料患者女,57岁,因“腹胀、纳差、乏力5个月,加重伴气促2个月”于2015年1月1日入院。入院前5个月,无明显诱因出现腹胀、纳差、乏力,偶有 Lymphoblastic lymphoma (LBL) is a highly malignant lymphoma with rapid progression and high mortality. According to the immunophenotype, the World Health Organization (WHO) classifies them into T-lymphoblastic lymphoma (T-LBL) and B-lymphoblastic lymphoma (B-LBL). Kidney primary B-LBL is very rare, our hospital in 2015 admitted to a case of kidney invasion as the first performance, confirmed by renal biopsy, are reported below. 1 patient data Female, 57 years old, due to “abdominal distension, anorexia, fatigue 5 months, increased with shortness of breath 2 months ” on January 1, 2015 admission. 5 months before admission, there is no obvious incentive to bloating, anorexia, fatigue, occasionally