Ultrasound, computed tomography and surgical observations in the evaluation and staging of the renal cell carcinoma

  • Khaleel I. Mohson Head of clinical department, national cancer research center, University of Baghdad. 
  • Hana A. Ali Specialist radiologist, Bakooba hospital, Diala. 
Keywords: computed tomography, abdominal ultrasound, renal mass, renal cell carcinoma

Abstract

Background: The evaluation and staging of renal cell carcinoma (RCC) has dramatically changed with the introduction of cross-sectional imaging. Nowadays, small renal lesions are easily detected by computed tomography (CT) examination while missed by other modalities.

Objective: To determine whether ultrasound (US) or CT scan is the optimum imaging modality for the evaluation of the renal masses.

Patients and methods: This is a comparative study in which 30 patients with hematuria were attending the urological consulting clinic in Ghazzi Al-Harriry hospital, Baghdad, Iraq from May 2016 to July 2017 were subjected to abdominal US and CT scan.

Results: The patients included in the study were 19 females and 11 males. The results of US, unenhanced and contrast CT for characterization of the consistency of renal mass were 63.4%,56.7%, and 60% respectively for the solid, while the cystic were 23.3%,23.3%, and 26.6% and for complex was 13.3%,20% and 13.4% respectively. The size of the masses was compatible in 60% of cases. Mass surface regularity was compatible in 93.4%.

Regarding mass position, the US showed that 96.7% to be confined to the kidney and 4.3% extended outside, while 66.6% were judged to be confined by CT scan, which is nearly similar to the operative findings which revealed 60% localized masses to kidney and 40% extending outside the kidney.

Conclusion: the US is a good modality to start with in the assessment of renal lesions, but CT scan is still the main tool to diagnose and stage RCC.

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Author Biographies

Khaleel I. Mohson, Head of clinical department, national cancer research center, University of Baghdad. 

DM

 

Hana A. Ali, Specialist radiologist, Bakooba hospital, Diala. 

 DMRD (radiology)

 

Published
2018-12-31
How to Cite
1.
Mohson K, Ali H. Ultrasound, computed tomography and surgical observations in the evaluation and staging of the renal cell carcinoma. JFacMedBagdad [Internet]. 31Dec.2018 [cited 26Sep.2020];60(3):145-9. Available from: http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/603