Learning objectives
Identify findings that characterize papillary renal cell carcinoma in ultrasound,
CT and MRI.
Background
Papillary renal cell carcinoma is a type of cancer that forms inside the lining of the kidney’s tubules.
About 5 -10% of primary renal carcinomas are papillary carcinoma.
Patients present in the third to eighth decades of life.
Like the rest of renal tumors is usually an incidental finding,
it is more frequent in men than in women.
Most are unilateral (type 1) but can occur in a multifocal or bilateral (type 2),
this finding is more prevalent than in other subtypes.
It is divided...
Findings and procedure details
In the Hospital Clínico Universitario de Valencia it was done a retrospective review of cases in patients with papillary renal cell carcinoma diagnosis,
confirmed by pathology between 2010 y 2014.
Were identified the radiological features of this type of kidney tumor in US,
CT and MRI.
Although ultrasound is very frequently requested to assess the renal tract,
it is not as sensitive or specific as CT or MRI,
In ultrasound papillary renal cell carcinoma is a solid tumor,
that may appear hypo-,
iso-,
or hyperechoic...
Conclusion
The radiological findings like poor enhancement after contrast administration,
that characterize the papillary renal cell carcinoma,
could suggest this diagnosis,
however the gold standar test continues to be the histopathological study.
References
1.Raghunandan Vikram,
MBBS,
MRCP,
FRCR,
Chaan S.
Ng,
Pheroze Tamboli,Nizar M.
Tannir,Eric Jonasch,Surena F.
Matin,Christopher G.
Wood,
andCarl M.
Sandler.
Papillary Renal Cell Carcinoma: Radiologic-Pathologic Correlation and Spectrum of Disease.
Mayo-junio 2009.
Vol 29,
issue 23.
2.F.
Bazan,
M.
Busto.
Radiología del carcinoma renal
Radiología,
Volume 56,
Issue 1,
Pages 61-75
3.J M Garin,
I Marco,
A Salva ,
F Serrano,
J M Bondia,
and M Pacheco.
CT and MRI in fat-containing papillary renal cell carcinoma.
The British Journal of Radiology.
Volume 80,
Issue 957....