Renal cell carcinoma echocardiography or ultrasound
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Ultrasound
Ultrasound (US) may be helpful when CT scan results are equivocal. It is noteworthy to mention that not all renal cell carcinomas are detectable on ultrasound.
| Patient Profile | Use of US | Evidence Strength |
| Low Risk Patient (pT1, N0, Nx) | US (or CT or MRI) may be performed in patients following radical nephrectomy if initial post-op baseline image is negative | C |
| Moderate to High Risk Patients (pT2-4N0 Nx or any stage N+) | Imaging, including US, may be used every 6 months (after a baseline chest and abdominal CT or MRI within 3-6 months following surgery) for at least 3 years and annually thereafter to 5 years. Site specific imaging is warranted by clinical symptoms suggestive of recurrence or metastatic spread. Imaging (US, CXR, CT, or MRI) beyond 5 years may be performed at the discretion of the clinician | C |
References
- ↑ Donat SM, Diaz M, Bishoff JT, Coleman JA, Dahm P, Derweesh IH; et al. (2013). "Follow-up for Clinically Localized Renal Neoplasms: AUA Guideline". J Urol. 190 (2): 407–16. doi:10.1016/j.juro.2013.04.121. PMID 23665399.