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 |
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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. |
doi_str_mv | 10.1097/00004728-199905000-00020 |
format | Article |
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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.</description><identifier>ISSN: 0363-8715</identifier><identifier>EISSN: 1532-3145</identifier><identifier>DOI: 10.1097/00004728-199905000-00020</identifier><identifier>PMID: 10348452</identifier><identifier>CODEN: JCATD5</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>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</subject><ispartof>Journal of computer assisted tomography, 1999-05, Vol.23 (3), p.441-444</ispartof><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-57e99380596433f82dcc3a6610fe95e6e3b3ecace29031270351fc561f26a7c73</citedby><cites>FETCH-LOGICAL-c340t-57e99380596433f82dcc3a6610fe95e6e3b3ecace29031270351fc561f26a7c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1838471$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10348452$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FIELDING, J. R</creatorcontrib><creatorcontrib>VISWESWARAN, A</creatorcontrib><creatorcontrib>SILVERMAN, S. G</creatorcontrib><creatorcontrib>GRANTER, S. R</creatorcontrib><creatorcontrib>RENSHAW, A. A</creatorcontrib><title>CT and ultrasound features of metanephric adenoma in adults with pathologic correlation</title><title>Journal of computer assisted tomography</title><addtitle>J Comput Assist Tomogr</addtitle><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.</description><subject>Adenoma - diagnostic imaging</subject><subject>Adenoma - pathology</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Renal Cell - diagnostic imaging</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Kidney Neoplasms - diagnostic imaging</subject><subject>Kidney Neoplasms - pathology</subject><subject>Kidneys</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors of the urinary system</subject><subject>Ultrasonography</subject><subject>Urinary system</subject><issn>0363-8715</issn><issn>1532-3145</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE1LxDAQhoMo7rr6FyQH8VZNOk3THGXxCwQvKx5LNp24lbapSYr4743u-hEImcAz7wwPIZSzC86UvGTpFDKvMq6UYiL9snRztkfmXECeAS_EPpkzKCGrJBczchTCK2NcAhSHZMYZFFUh8jl5Xq6oHho6ddHr4KZUWtRx8hios7THqAccN741VDc4uF7Tdkhl4gN9b-OGjjpuXOdeEmGc99jp2LrhmBxY3QU82b0L8nRzvVreZQ-Pt_fLq4fMQMFiJiQqBRUTqiwAbJU3xoAuS84sKoElwhrQaIO5YsBzyUBwa0TJbV5qaSQsyPk2d_TubcIQ674NBrsure2mUJdKKs5S9oJUW9B4F4JHW4--7bX_qDmrv6TWP1LrX6n1t9TUerqbMa17bP41bi0m4GwH6GB0Z70eTBv-uAqqQnL4BBZefuU</recordid><startdate>19990501</startdate><enddate>19990501</enddate><creator>FIELDING, J. R</creator><creator>VISWESWARAN, A</creator><creator>SILVERMAN, S. G</creator><creator>GRANTER, S. R</creator><creator>RENSHAW, A. A</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990501</creationdate><title>CT and ultrasound features of metanephric adenoma in adults with pathologic correlation</title><author>FIELDING, J. R ; VISWESWARAN, A ; SILVERMAN, S. G ; GRANTER, S. R ; RENSHAW, A. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-57e99380596433f82dcc3a6610fe95e6e3b3ecace29031270351fc561f26a7c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adenoma - diagnostic imaging</topic><topic>Adenoma - pathology</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Renal Cell - diagnostic imaging</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Kidney Neoplasms - diagnostic imaging</topic><topic>Kidney Neoplasms - pathology</topic><topic>Kidneys</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors of the urinary system</topic><topic>Ultrasonography</topic><topic>Urinary system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FIELDING, J. R</creatorcontrib><creatorcontrib>VISWESWARAN, A</creatorcontrib><creatorcontrib>SILVERMAN, S. G</creatorcontrib><creatorcontrib>GRANTER, S. R</creatorcontrib><creatorcontrib>RENSHAW, A. 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A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CT and ultrasound features of metanephric adenoma in adults with pathologic correlation</atitle><jtitle>Journal of computer assisted tomography</jtitle><addtitle>J Comput Assist Tomogr</addtitle><date>1999-05-01</date><risdate>1999</risdate><volume>23</volume><issue>3</issue><spage>441</spage><epage>444</epage><pages>441-444</pages><issn>0363-8715</issn><eissn>1532-3145</eissn><coden>JCATD5</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>10348452</pmid><doi>10.1097/00004728-199905000-00020</doi><tpages>4</tpages></addata></record> |
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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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