Renal cell carcinoma CT: Difference between revisions

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==CT ==
==CT ==
To detect
Both CT and MRI may be used to detect neoplastic masses that may define renal cell carcinoma or metastasis of the primary cancer. CT scan and use of intravenous (IV) contrast is generally used for work-up and follow-up of patients with renal cell carcinoma. Enhancing renal masses on CT scan is strongly indicative of the presence of a renal tumor.<ref name="pmid16339096‎">{{cite journal| author=Cohen HT, McGovern FJ| title=Renal-cell carcinoma. | journal=N Engl J Med | year= 2005 | volume= 353 | issue= 23 | pages= 2477-90 | pmid=16339096‎ | doi=10.1056/NEJMra043172 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16339096  }} </ref> It is always important to note the significance of radiation exposure in the recurrent use of CT scan for surveillance.
* Cerebral metastases
* Cutaneous metastasis
* Lung metastases
===Images===
 
The characteristic appearance of renal cell carcinoma (RCC) is a solid renal lesion which disturbs the renal contour. It will frequently have an irregular or lobulated margin. 85% of solid renal masses will be RCC. 10% of RCC will contain calcifications, and some contain macroscopic fat (likely due to invasion and encasement of the perirenal fat). Following intravenous contrast administration ([[computed tomography]] or [[magnetic resonance imaging]]), enhancement will be noted, and will increase the conspicuity of the tumor relative to normal renal parenchyma.


'''Patient #1'''
'''Patient #1'''


[http://www.radswiki.net Images courtesy of RadsWiki]
[http://www.radswiki.net Images courtesy of RadsWiki]
[[Image:Renal cell carcinoma with intravascular extension 001.jpg|thumb|left|300px|T2: Renal cell carcinoma with intravascular extension]]


[[Image:Renal cell carcinoma with intravascular extension 001.jpg|thumb|left|350px|T2: Renal cell carcinoma with intravascular extension]]
[[Image:Renal cell carcinoma with intravascular extension 002.jpg|thumb|left|300px|T1 post contrast: Renal cell carcinoma with intravascular extension]]
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[[Image:Renal cell carcinoma with intravascular extension 002.jpg|thumb|left|350px|T1 post contrast: Renal cell carcinoma with intravascular extension]]
[[Image:Renal cell carcinoma with intravascular extension 003.jpg|thumb|left|300px|T1 post contrast: Renal cell carcinoma with intravascular extension]]
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[[Image:Renal cell carcinoma with intravascular extension 003.jpg|thumb|left|350px|T1 post contrast: Renal cell carcinoma with intravascular extension]]
[[Image:Renal cell carcinoma with intravascular extension 004.jpg|thumb|left|300px|T1 post contrast: Renal cell carcinoma with intravascular extension]]
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[[Image:Renal cell carcinoma with intravascular extension 004.jpg|thumb|left|350px|T1 post contrast: Renal cell carcinoma with intravascular extension]]
[[Image:Renal cell carcinoma with intravascular extension 005.jpg|thumb|left|300px|T1 post contrast: Renal cell carcinoma with intravascular extension]]
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[[Image:Renal cell carcinoma with intravascular extension 005.jpg|thumb|left|350px|T1 post contrast: Renal cell carcinoma with intravascular extension]]
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'''Patient #2'''
'''Patient #2'''
[http://www.radswiki.net Images courtesy of RadsWiki]
[http://www.radswiki.net Images courtesy of RadsWiki]


[[Image:Large renal cell carcinoma 001.jpg|thumb|left|350px|Large renal cell carcinoma]]
[[Image:Large renal cell carcinoma 001.jpg|thumb|left|300px|Large renal cell carcinoma]]
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[[Image:Large renal cell carcinoma 002.jpg|thumb|left|350px|Large renal cell carcinoma]]
[[Image:Large renal cell carcinoma 002.jpg|thumb|left|300px|Large renal cell carcinoma]]
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[[Image:Large renal cell carcinoma 003.jpg|thumb|left|350px|Large renal cell carcinoma]]
[[Image:Large renal cell carcinoma 003.jpg|thumb|left|300px|Large renal cell carcinoma]]
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[http://www.radswiki.net Images courtesy of RadsWiki]
[http://www.radswiki.net Images courtesy of RadsWiki]
[[Image:Renal-cell-carcinoma-003.jpg|thumb|left|300px|Non contrast: Renal cell carcinoma]]


[[Image:Renal-cell-carcinoma-003.jpg|thumb|left|350px|Non contrast: Renal cell carcinoma]]
[[Image:Renal-cell-carcinoma-004.jpg|thumb|left|300px|Non contrast: Renal cell carcinoma]]
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[[Image:Renal-cell-carcinoma-004.jpg|thumb|left|350px|Non contrast: Renal cell carcinoma]]
[[Image:Renal-cell-carcinoma-001.jpg|thumb|left|300px|Renal cell carcinoma]]
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[[Image:Renal-cell-carcinoma-001.jpg|thumb|left|350px|Renal cell carcinoma]]
[[Image:Renal-cell-carcinoma-002.jpg|thumb|left|300px|Renal cell carcinoma]]
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[[Image:Renal-cell-carcinoma-002.jpg|thumb|left|350px|Renal cell carcinoma]]
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[http://www.radswiki.net Images courtesy of RadsWiki]
[http://www.radswiki.net Images courtesy of RadsWiki]


[[Image:Renal cell carcinoma 001.jpg|thumb|left|350px|Renal cell carcinoma]]
[[Image:Renal cell carcinoma 001.jpg|thumb|left|300px|Renal cell carcinoma]]
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[[Image:Renal cell carcinoma 002.jpg|thumb|left|350px|Renal cell carcinoma]]
<br clear="left"/>
 
[[Image:Renal cell carcinoma 003.jpg|thumb|left|350px|Renal cell carcinoma]]
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[[Image:Renal cell carcinoma 004.jpg|thumb|left|350px|Renal cell carcinoma]]
[[Image:Renal cell carcinoma 002.jpg|thumb|left|300px|Renal cell carcinoma]]
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[[Image:Renal cell carcinoma 005.jpg|thumb|left|350px|Renal cell carcinoma]]
[[Image:Renal cell carcinoma 003.jpg|thumb|left|300px|Renal cell carcinoma]]
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[[Image:Renal cell carcinoma 004.jpg|thumb|left|300px|Renal cell carcinoma]]


[[Image:Renal cell carcinoma 005.jpg|thumb|left|300px|Renal cell carcinoma]]


[[Image:RCC.jpg|thumb|left|350px|A [[computed axial tomography|CT scan]] showing bilateral renal cell carcinomas]]
[[Image:RCC.jpg|thumb|left|300px|A [[computed axial tomography|CT scan]] showing bilateral renal cell carcinomas]]
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Revision as of 18:28, 11 January 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

CT

Both CT and MRI may be used to detect neoplastic masses that may define renal cell carcinoma or metastasis of the primary cancer. CT scan and use of intravenous (IV) contrast is generally used for work-up and follow-up of patients with renal cell carcinoma. Enhancing renal masses on CT scan is strongly indicative of the presence of a renal tumor.[1] It is always important to note the significance of radiation exposure in the recurrent use of CT scan for surveillance.

Patient #1

Images courtesy of RadsWiki

T2: Renal cell carcinoma with intravascular extension
T1 post contrast: Renal cell carcinoma with intravascular extension
T1 post contrast: Renal cell carcinoma with intravascular extension


T1 post contrast: Renal cell carcinoma with intravascular extension
T1 post contrast: Renal cell carcinoma with intravascular extension


Patient #2 Images courtesy of RadsWiki

Large renal cell carcinoma
Large renal cell carcinoma
Large renal cell carcinoma


Patient #3

Images courtesy of RadsWiki

Non contrast: Renal cell carcinoma
Non contrast: Renal cell carcinoma
Renal cell carcinoma


Renal cell carcinoma


Patient #4

Images courtesy of RadsWiki

Renal cell carcinoma
Renal cell carcinoma
Renal cell carcinoma


Renal cell carcinoma
Renal cell carcinoma
A CT scan showing bilateral renal cell carcinomas


References

  1. Cohen HT, McGovern FJ (2005). "Renal-cell carcinoma". N Engl J Med. 353 (23): 2477–90. doi:10.1056/NEJMra043172. PMID 16339096‎ Check |pmid= value (help).