M/39

C/C:
Incidentally found renal mass

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renal cell carcinoma • DDx – Oncocytoma – Metastasis from an extra-renal primary neoplasm – Renal lymphoma – Renal parenchymal sarcoma – Transitional cell cancers of the renal pelvis (more centrally located. involvement of the collecting system) – Angiomyolipomas (fat density usually visible by CT) . Assessment • Probably.

REVIEW OF DISEASE Renal Cell Carcinoma .

ultrasound. CT or MRI scan . 진단 • Essentials of Diagnosis – Gross or microscopic hematuria – Flank pain or mass in some patients – Systemic symptoms such as fever. weight loss may be prominent – Solid renal mass on imaging • More commonly. these lesions are being discovered incidentally before symptoms have developed • Imaging Studies – Renal mass on intravenous urography.

stages the lesion • Chest radiographs – for pulmonary metastases • Bone scans – for large tumors. bone pain. elevated alkaline phosphatase levels • MRI and duplex Doppler ultrasonography – for the presence and extent of tumor thrombus within the renal vein or vena cava in selected patients . Diagnostic Procedures • CT scanning – for character of the mass.

soft-tissue masses – enhancing after the administration of intravenous contrast agent – often homogeneous on small lesion – heterogeneous frequently with necrosis and often with calcifications on large lesion . isoechoic – central necrosis mimicking the central scar of oncocytomas • By CT – rounded. Radiologic characters • On ultrasound – nonspecific renal mass – these lesions may be hyperechoic.

Gash & D. 일조각 p. Radiology of the Urinary Tract • 최병인 편저: 복부 초음파 진단학. Part 4. MD: Current Medical Dx & Tx. McPhee: 2007 Current Consult: Medicine • Hope S. Matthew Bowen: Basic Radiology. Chapter 9. Abdomen. Oncology . Papadakis and Stephen J. Reference • pollack. Rugo.1413-1641 • Judson R. p. mcclennan: clinical urography 2nd volume 2.323 • Maxine A.

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