دورية أكاديمية

Comparison of computed tomography findings between renal oncocytomas and chromophobe renal cell carcinomas

التفاصيل البيبلوغرافية
العنوان: Comparison of computed tomography findings between renal oncocytomas and chromophobe renal cell carcinomas
المساهمون: College of Medicine, Dept. of Urology, Jae Hyeok Choi, Jong Won Kim, Joo Yong Lee, Woong Kyu Han, Koon Ho Rha, Young Deuk Choi, Sung Joon Hong, Young Eun Yoon, Kim, Jong Won, Rha, Koon Ho, Yoon, Young Eun, Lee, Joo Yong, Choi, Young Deuk, Choi, Jae Hyeok, Han, Woong Kyu, Hong, Sung Joon
بيانات النشر: Korean Urological Association
سنة النشر: 2015
مصطلحات موضوعية: Adenoma, Oxyphilic/diagnostic imaging, Oxyphilic/pathology, Carcinoma, Renal Cell/diagnostic imaging, Renal Cell/pathology, Diagnosis, Differential, Female, Humans, Kidney Neoplasms/diagnostic imaging, Kidney Neoplasms/pathology, Male, Middle Aged, Retrospective Studies, Tomography, X-Ray Computed, Renal cell carcinoma, Renal oncocytoma, X-ray computed tomography
الوصف: PURPOSE: To investigate and distinguish the computed tomography (CT) characteristics of chromophobe renal cell carcinoma (chRCC) and renal oncocytoma. MATERIALS AND METHODS: Fifty-one patients with renal oncocytoma and 120 patients with chRCC, diagnosed by surgery between November 2005 and June 2015, were studied retrospectively. Two observers, who were urologists and unaware of the pathological results, reviewed the preoperative CT images. The tumors were evaluated for size, laterality, tumor type (ball or bean pattern), central stellate scar, segmental enhancement inversion, and angular interface pattern and tumor complexity. To accurately analyze the mass-enhancing pattern of renal mass, we measured Hounsfield units (HUs) in each phase and analyzed the mean, maximum, and minimum HU values and standard deviations. RESULTS: There were 51 renal oncocytomas and 120 chRCCs in the study cohort. No differences in clinical and demographic characteristics were observed between the two groups. A central stellate scar and segmental enhancement inversion were more likely in oncocytomas. However, there were no differences in ball-/bean-type categorization, enhancement pattern, and the shape of the interface between the groups. Higher HU values tended to be present in the corticomedullary and nephrogenic phases in oncocytomas than in chRCC. Receiver-operating characteristic curve analysis showed that the presence of a central stellate scar and higher mean HU values in the nephrogenic phase were highly predictive of renal oncocytoma (area under the curve=0.817, p<0.001). CONCLUSIONS: The appearance of a central stellate scar and higher mean HU values in the nephrogenic phase could be useful to distinguish renal oncocytomas from chRCCs. ; open
نوع الوثيقة: article in journal/newspaper
اللغة: Korean
تدمد: 2005-6737
2005-6745
العلاقة: KOREAN JOURNAL OF UROLOGY; J02134; OAK-2015-05600; https://ir.ymlib.yonsei.ac.kr/handle/22282913/156764Test; T201504509; KOREAN JOURNAL OF UROLOGY, Vol.56(10) : 695-702, 2015
DOI: 10.4111/kju.2015.56.10.695
الإتاحة: https://doi.org/10.4111/kju.2015.56.10.695Test
https://ir.ymlib.yonsei.ac.kr/handle/22282913/156764Test
حقوق: CC BY-NC-ND 2.0 KR ; https://creativecommons.org/licenses/by-nc-nd/2.0/krTest/
رقم الانضمام: edsbas.4166889E
قاعدة البيانات: BASE
الوصف
تدمد:20056737
20056745
DOI:10.4111/kju.2015.56.10.695