A Study on Role of Multidetector CT in Characterization of Non Inflammatory Renal Masses
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Majority of the renal masses are encountered during routine or accidental imaging studies like ultrasonography, computed tomography and Magnetic resonance imaging studies. MDCT remains the single most effective modality in diagnosis of renal non neoplastic and neoplastic masses and staging of renal cell carcinomas. The aim of the present study was to assess the role of multidetector CT in diagnostic evaluation of non inflammatory renal masses. Material and Methods: A prospective observational two year study approved by ethical committee was conducted. 85 cases with identified renal mass by ultra sonogram were included and MDCT was performed on all the cases in the study. Results: Out of 85 cases in the study, males were predominant with mean age of 26.21±2.6 years. Hematuria was observed in 76.47% and renal cell carcinoma was commonest. (51.76%) RCC was most commonly seen in age group of 50-60 years in our study with a mean age of 52.25± 2.5 years. Most of the cases were in stage III.Transitional renal cell carcinoma was seen in 6 cases. Three cases had metastasis to the liver and 2 cases had associated bladder carcinoma. Conclusion: MDCT provides preoperative renal vascular status viz, renal artery anatomy, accessory arteries, normal variants, renal vein/IVC invasion and for evaluating the hyperenhancing metastasis in corticomedullary phase. Incidental renal masses with heterogenous enhancement, necrosis, and calcifications are suggestive of renal cell carcinoma.
Authors and Affiliations
Ritesh Kondeti, Prashanth Thimme Gowda
Keywords
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- EP ID EP424330
- DOI 10.21276/ijcmsr.2018.3.3.32
- Views 138
- Downloads 0
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