Renal Tumors in Young Adults: Is Preoperative Computer Tomography Imaging Suggestive for the Nature of the Tumors?
Abstract
1. Introduction
2. Materials and Methods
Data Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Renal Masses | What? | Additional Imaging? |
---|---|---|
Incomplete characterized incidental renal masses at unenhanced CT | ||
| Probably benign cyst | Probably, not necessarily |
| Possible malignant | Maybe warranted * |
Incomplete characterized incidental renal masses at contrast-enhanced CT | ||
| Probably benign cyst | Probably, not necessarily |
| Possible malignant | Maybe warranted * |
RENAL | 1 pt | 2 pts | 3 pts |
---|---|---|---|
Radius diameter (cm) | ≤4 | >4 but <7 | ≥7 |
Exophytic/Endophytic | ≥50% Exophytic | <50% Endophytic | Entirely Endophytic |
Nearest sinus or collecting system (mm) | ≥7 | >4 but <7 | ≤4 |
Anterior/Posterior | Nonnumerical suffix a, p, x, h | ||
Location, Polar lines | Entirely above or below the polar lines | The lesion crosses the polar lines | >50% of the mass crosses the polar line, or the mass is located entirely between the polar lines |
ID | Age (years)/Gender | TNM | Tumor Diameter (mm) | R.E.N.A.L. Nephrometry Score | Preoperative CT Imaging Diagnosis |
---|---|---|---|---|---|
1 | 45/M | cT2N0 | 73 | 9 | Clear Cell RCC |
2 | 27/F | cT1bN0 | 60 | 8 | Clear Cell RCC |
3 | 38/M | cT1bN0 | 47 | 10 | Papillary/Clear Cell RCC Oncocytoma |
4 | 24/M | cT2N0 | 85 | 10 | Clear Cell RCC |
5 | 31/F | cT1aN0 | 35 | 8 | Papillary Clear Cell RCC |
6 | 41/M | cT2N0 | 86 | 10 | Clear Cell RCC |
7 | 29/M | cT1bN0 | 40 | 8 | Oncocytoma |
8 | 30/F | cT1bN0 | 44 | 10 | Papillary/Clear Cell RCC |
9 | 32/F | cT1bN0 | 52 | 11 | Clear Cell RCC |
10 | 25/M | cT1bN0 | 45 | 11 | Papillary/Clear Cell RCC Complicated cyst Oncocytoma/Fat poor AML |
11 | 43/F | cT1bN0 | 50 | 9 | Papillary RCC/Oncocytoma Fat poop AML |
12 | 41/F | cT2N0 | 73 | 10 | Oncocytoma |
13 | 43/M | cT3aN0 | 33 | 7 | Clear Cell RCC |
14 | 38/F | cT1bN0 | 50 | 8 | Bleeding Clear Cell RCC |
15 | 32/M | cT3aN0 | 55 | 10 | Clear Cell RCC |
16 | 37/M | cT2N0 | 93 | 11 | Clear Cell RCC |
ID | Surgical Approach | Histological Stage | Histological Exam | Concordance Histological-CT Diagnosis |
---|---|---|---|---|
1 | Retroperitoneoscopic radical nephrectomy | pT2N0 | Clear Cell RCC Furhman 2 | Yes |
2 | Open radical nephrectomy | pT1bN0 | Clear Cell RCC Furhman 1 | Yes |
3 | Retroperitoneoscopic radical nephrectomy | pT1bN0 | Papillary-RCC, type II | Yes/No |
4 | Open Radical nephrectomy | pT2N0 | Cystic Nephroma | No |
5 | Retroperitoneoscopic radical nephrectomy | pT1aN0 | Clear Cell RCC Furhman 1 | Yes/No |
6 | Open radical nephrectomy | pT2N0 | Clear Cell RCCFurhman 2 | Yes |
7 | Open partial nephrectomy with local renal hypothermia and hilar clamping | PT1bN0 | Multicentric Chromophobe-RCC | No |
8 | Open partial nephrectomy with local renal hypothermia and hilar clamping | pT1bN0 | Clear Cell RCC Furhman 1 | Yes/No |
9 | Retroperitoneoscopic radical nephrectomy | pT1bN0 | Clear Cell RCC Furhman 2 | Yes |
10 | Open partial nephrectomy with local renal hypothermia and hilar clamping | pT1bN0 | Multiloculated cystic Clear Cell RCC Furhman 1 | No |
11 | Open partial nephrectomy with local renal hypothermia and hilar clamping | pT1bN0 | Metanephric adenofibroma | No |
12 | Open radical nephrectomy | pT2N0 | Oncocytoma | Yes |
13 | Open partial nephrectomy–segmentary renal vein invasion–radical nephrectomy | pT3aN0 | Clear Cell RCC Furhman 1 | Yes |
14 | Open partial nephrectomy with local renal hypothermia and hilar clamping | pT1bN0 | Papillary-RCC, type I | No |
15 | Open radical nephrectomy | pT3aN0 | Clear Cell RCC Furhman 1 | Yes |
16 | Retroperitoneoscopic radical nephrectomy | pT2N0 | Clear Cell RCC Furhman 1 | Yes |
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Zaharie, A.; Bolboacă, S.D.; Moisoiu, T.; Burghelea, D.; Iacob, G.; Ghervan, L.; Elec, F.I. Renal Tumors in Young Adults: Is Preoperative Computer Tomography Imaging Suggestive for the Nature of the Tumors? Diagnostics 2020, 10, 380. https://doi.org/10.3390/diagnostics10060380
Zaharie A, Bolboacă SD, Moisoiu T, Burghelea D, Iacob G, Ghervan L, Elec FI. Renal Tumors in Young Adults: Is Preoperative Computer Tomography Imaging Suggestive for the Nature of the Tumors? Diagnostics. 2020; 10(6):380. https://doi.org/10.3390/diagnostics10060380
Chicago/Turabian StyleZaharie, Andreea, Sorana D. Bolboacă, Tudor Moisoiu, Dan Burghelea, Gheorghita Iacob, Liviu Ghervan, and Florin Ioan Elec. 2020. "Renal Tumors in Young Adults: Is Preoperative Computer Tomography Imaging Suggestive for the Nature of the Tumors?" Diagnostics 10, no. 6: 380. https://doi.org/10.3390/diagnostics10060380
APA StyleZaharie, A., Bolboacă, S. D., Moisoiu, T., Burghelea, D., Iacob, G., Ghervan, L., & Elec, F. I. (2020). Renal Tumors in Young Adults: Is Preoperative Computer Tomography Imaging Suggestive for the Nature of the Tumors? Diagnostics, 10(6), 380. https://doi.org/10.3390/diagnostics10060380