[Adrenal involvement in renal carcinoma. Diagnostic value of computerized tomography]. / Coinvolgimento surrenalico nel carcinoma renale. Valore diagnostico della Tomografia Computerizzata.
Radiol Med
; 94(6): 642-5, 1997 Dec.
Article
em It
| MEDLINE
| ID: mdl-9524603
ABSTRACT
PURPOSE:
We investigated the sensitivity and specificity of computed tomography (CT) in the detection of ipsilateral involvement of the adrenal glands by renal cancer. MATERIAL ANDMETHODS:
We reviewed 350 cases of radical nephrectomy for renal cancer; the adrenal gland had been removed during nephrectomy in 185 cases.RESULTS:
Histology confirmed adrenal gland involvement from renal cancer in 9 cases, namely 4 metastatic nodules and 5 cases of direct tumor invasion. Adrenal involvement was identified by preoperative CT in 3 cases only the gland was undetectable in 2 of them, being masked by a large tumor mass, while it appeared normal on CT images in the 4 patients with metastatic nodules.CONCLUSIONS:
An adrenal gland appearing normal during preoperative CT assessment of renal cancer is not very likely to be involved by cancer (2.4% of cases in our series), while a gland missed at CT is very likely involved because it may be masked by a large tumor.
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Base de dados:
MEDLINE
Assunto principal:
Carcinoma de Células Renais
/
Tomografia Computadorizada por Raios X
/
Neoplasias das Glândulas Suprarrenais
/
Neoplasias Renais
Idioma:
It
Ano de publicação:
1997
Tipo de documento:
Article