CT and ultrasound features of metanephric adenoma in adults with pathologic correlation

The purpose of this work was to correlate the CT, ultrasound, and pathologic features of metanephric adenoma, a rare benign renal tumor in adults. Retrospective review of medical records (1990-1997) revealed three adult female patients who had both preoperative imaging and nephrectomy with pathologi...

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Veröffentlicht in:Journal of computer assisted tomography 1999-05, Vol.23 (3), p.441-444
Hauptverfasser: FIELDING, J. R, VISWESWARAN, A, SILVERMAN, S. G, GRANTER, S. R, RENSHAW, A. A
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container_end_page 444
container_issue 3
container_start_page 441
container_title Journal of computer assisted tomography
container_volume 23
creator FIELDING, J. R
VISWESWARAN, A
SILVERMAN, S. G
GRANTER, S. R
RENSHAW, A. A
description The purpose of this work was to correlate the CT, ultrasound, and pathologic features of metanephric adenoma, a rare benign renal tumor in adults. Retrospective review of medical records (1990-1997) revealed three adult female patients who had both preoperative imaging and nephrectomy with pathologic diagnosis of metanephric adenoma performed at our institution. CT (n = 3) and ultrasound (n = 2) features were reviewed in consensus by two radiologists and correlated with pathologic findings. In all three cases, the metanephric adenoma was of increased attenuation relative to adjacent renal parenchyma on unenhanced CT scans. No septa or calcifications were seen. Ultrasound images showed both tumors to be hyperechoic with enhanced through-transmission. The CT and ultrasound findings correlate with the pathologic features of a high nuclear-to-cytoplasmic ratio and psammomatous calcifications. In the adult population, it is unlikely that metanephric adenoma can be prospectively differentiated from renal cell carcinoma based on imaging features.
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In all three cases, the metanephric adenoma was of increased attenuation relative to adjacent renal parenchyma on unenhanced CT scans. No septa or calcifications were seen. Ultrasound images showed both tumors to be hyperechoic with enhanced through-transmission. The CT and ultrasound findings correlate with the pathologic features of a high nuclear-to-cytoplasmic ratio and psammomatous calcifications. 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subjects Adenoma - diagnostic imaging
Adenoma - pathology
Adult
Biological and medical sciences
Carcinoma, Renal Cell - diagnostic imaging
Diagnosis, Differential
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Kidney Neoplasms - diagnostic imaging
Kidney Neoplasms - pathology
Kidneys
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Retrospective Studies
Tomography, X-Ray Computed
Tumors of the urinary system
Ultrasonography
Urinary system
title CT and ultrasound features of metanephric adenoma in adults with pathologic correlation
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