Differentiation of oncocytoma from renal cell carcinoma on biphasic contrastenhanced ct kohei sasaguri 1, 2, naoki takahashi 1, daniel gomezcardona 1, shuai leng. Comparative study of ct appearances in renal oncocytoma. Unfortunately, the imaging appearance of oncocytomas is difficult to distinguish from renal cell carcinoma, and as such. On ct, oncocytomas are usually isointense or hyperintense to normal renal parenchyma. The objective of our study was to identify the most useful parameters to differentiate between renal cell carcinoma rcc and oncocytoma using fourphase ct. All patients were examined with contrastenhanced ct. Differentiation of renal oncocytoma and renal clear cell carcinoma using relative.
Renal oncocytoma from renal cell cancer subtypes and. This case first appeared as performance improvement program in surgical. Renal oncocytoma is the second most common benign renal neoplasm after angiomyolipoma, comprising 37% of all renal tumors. Renal oncocytoma oncocytic papillary renal cell carcinoma. Renal oncocytoma genetic and rare diseases information. In many cases, renal oncocytomas are surgically resected because preoperative imaging diagnosis is not reliable to distinguish oncocytoma from renal cell carcinoma rcc. Ninetyseven patients with solid renal lesions who underwent surgery with fourphase preoperative ct evaluation and with pathologic diagnosis of rcc or. Renal oncocytomas account for approximately 5% of resected primary adult epithelial. Backgroundrenal oncocytoma ro and chromophobe renal cell carcinoma chrcc share histologic and some imaging features. Oncocytoma is the most common benign solid renal tumor and. Purposeto investigate the multidetector computed tomography mdct characteri. The remaining 11 renal cell carcinomas were sestamibi negative.
Request pdf mri features of renal oncocytoma and chromophobe renal cell carcinoma the purpose of this study was to retrospectively describe the mri. Renal oncocytoma and chromophobe rcc showed no significant difference in. Clear cell renal cell carcinomas, ratio of renal lesion enhancement to cortical enhancement, renal oncocytoma, tomography, xray computed i ntroduction renal clear cell carcinomas rccs which account for approximately 70% of renal cortical tumors and 90% of metastases, have the greatest metastatic potential. Visual evaluation and differentiation of renal oncocytomas from. The main clinical importance of this lesion is the difficulty in preoperatively distinguishing it from renal cell carcinomas, as epidemiology, presentation, imaging and even histology can be very similar. Patients who had preoperative ct evaluation as per our institutions renal mass protocol and had confirmed pathological diagnosis of either. Differentiation of renal oncocytoma and renal clear cell. Mri features of renal oncocytoma and chromophobe renal. Clear cell renal cell carcinomas, ratio of renal lesion enhancement to cortical enhancement, renal oncocytoma, tomography, xray computed i ntroduction renal clear cell carcinomas rccs which account for approximately 70% of renal. Prasad sr, surabhi vr, menias co, raut aa, chintapalli kn.
Mri features of renal oncocytoma and chromophobe renal cell. Among them, renal oncocytoma and chromophobe renal cell carcinoma rcc originate from intercalated cells in the collecting duct and share some morphologic, histologic, electron microscopy findings, and immunohistochemical characteristics 2, 3. Comparative study of ct appearances in renal oncocytoma and. In this study, we investigated the mri features of renal tumors, namely t2 signal. Comparative study of ct appearances in renal oncocytoma and chromophobe renal cell carcinoma. Mean ages of patients with oncocytoma and chromophobe rcc were.
Differentiation of oncocytoma and renal cell carcinoma in small. Discrimination of oncocytoma and chromophobe renal cell. Adult renal tumors have been classified into various types by the world health organization. Renal oncocytomas are relatively benign renal tumors. Usefulness of mdct to differentiate between renal cell. Differentiation of oncocytoma from renal cell carcinoma on biphasic contrastenhanced ct kohei sasaguri 1, 2, naoki takahashi 1, daniel gomezcardona 1, shuai leng 1, grant d. A ct scan of the abdomen shows a homogenous enhancing mass, 8. Chromophobe renal cell carcinoma rcc is the third most common histologic subtype of rcc after the clear cell and papillary subtypes, comprising approximately 68% of all renal tumors and approximately 410% of all cases of rcc. A diagnosis of renal oncocytoma is often suspected based on imaging studies such as computed tomography ct scan andor magnetic resonance imaging mri scan. Although they have common pathologic features, renal. These tumors tend to be larger than clear cell and papillary rcc at. Chromophobe renal cell carcinoma rcc is the third most common histologic subtype of rcc after the clear cell and papillary subtypes, comprising approximately 68% of all renal tumors and.
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