The diagnosis of tumour-like renal lesions may be difficult in chronic renal failure (CRF) patients. We present a patient with severe CRF, in whom the diagnosis of malakoplakia during intervention avoided nephrectomy, thereby preserving his residual renal function. The patient is a 65-year-old architect, who has type 2 diabetes known since 33 years with widespread organ damage. At referral, the...
