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Journals / Genel Tıp Dergisi / 2000 / Cilt: 10 - Sayı: 2

Positive predictive value of ultrasonography and computerized tomography in the diagnosis of renal solid masses

Renal solid kitlelerin tanısında ultrasonografi ve bilgisayarlı tomografinin pozitif prediktif değeri

Saim AÇIKGÖZOĞLU
Beytullah KÖYLÜOĞLU
Hakan TAŞKAPU
Pages
55–61
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Both US and CT were found unsatisfactory to detect the lymphnode extension.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Renal masses are diagnosed at advanced stages as they are usually asymptomatic.
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Key Findings & Data:Methods: 119 renal masses in 117 patients (69 male, and 48 female) were evaluated by US and CT examinations.
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Conclusion & Impact:Both US and CT were found unsatisfactory to detect the lymphnode extension.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Adenom · Karsinom · geçiş hücreli

Abstract

Objective: Renal masses are diagnosed at advanced stages as they are usually asymptomatic. In the present study, we aimed to evaluate the diagnostic value of ultrasonography (US) and computerized tomography (CT) which are essential diagnostic tools for renal masses. Methods: 119 renal masses in 117 patients (69 male, and 48 female) were evaluated by US and CT examinations. Results: Pathological diagnosis of the masses were renal cell cancer 89 (75%), transitional cell cancer in 7 (6%), renal adenoma in 4 (3%), Wilms’ tumor in 6 (5%) and angiomyolipoma in 13 (11%) patients. 102 masses (86%) were malignant (89 renal cell cancer, 7 transitional cell cancer and 6 Wilms’ tumor). Male to female ratio was 5:3 in malignant masses. The mean age of the patients was 54 (49 in males and 59 in females). Renal cell cancer occur mostly in left kidney, whereas transitional cell cancer and angiomyolipoma in right kidney. Conclusion: US was successful in the assessment of local tumor extension, whereas CT in the assessment of extrarenal tumor extension into the perirenal fat and retroperitoneal region. No significant difference was found between US and CT in confirming intravascular invasion. Both US and CT were found unsatisfactory to detect the lymphnode extension.

Özet

Amaç: Renal kitleler geç klinik yakınma ve bulgu vermesi ile tanınmasında geç kalınan patolojilerdir. Bu çalışmada böbrek solid kitlelerinde ultrasonografi (US) ve bilgisayarlı tomografi (BT) tanıları ile klinik ve patolojik sonuçlarını karşılaştırmayı amaçladık. Yöntem: US ile renal kitle tanısı alan ve aynı zamanda renal BT yapılan 117 (69E, 48K) hastada bulunan 119 renal kitledeki tanılarımız ile patolojik sonuçlar karşılaştırıldı. Bulgular: Kitleleri renal hücreli karsinom, transizyonel hücreli karsinom, renal adenom, Wilms tümörü ve anjiomyolipom olarak 5 grupta değerlendirdik. Kitlelerin 89’u (% 75) renal hücreli karsinom, 7’si (% 6) transizyonel hücreli karsinom, 4’ü (% 3) renal adenom, 6’sı (% 5) Wilms tümörü ve 13’ü (% 11) anjiomyolipomdu. Kitlelerin 102’si (% 86) maligndi (89 renal hücreli karsinom, 7 transizyonel hücreli karsinom, 6 Wilms tümörü). Malign kitlelerde E/K oranı 5/3, yaş ortalaması kadınlarda 49, erkeklerde 59, genelde 54’tü. Renal hücreli karsinom sol böbrekte, transizyonel hücreli karsinom ve anjiomyolipom sağ böbrekte daha sıktı. Sonuç: Organ invazyonunu göstermede US, retroperitoneal invazyonu göstermede BT başarılı iken, vasküler invazyonu göstermede US ile BT arasında önemli fark yoktur. Peritümöral lenfadenopatiyi göstermede US ve BT yeterli düzeyde güvenli değildir.

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Cite This Article

AÇIKGÖZOĞLU, S., KÖYLÜOĞLU, B., TAŞKAPU, H. (2000). Positive predictive value of ultrasonography and computerized tomography in the diagnosis of renal solid masses. Genel Tıp Dergisi, Cilt: 10 - Sayı: 2, 55–61. https://ajindex.com/articles/224883

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