Renal metastases of malignant gestational trophoblastic disease: the use of intravenous urography in staging.
Intravenous urography (IVU) was performed in 289 patients at the time of diagnosis of malignant gestational trophoblastic disease (GTD). Ninety-five percent of these studies were normal, and none of the urologic abnormalities detected provoked alteration of the patients' tumor-related therapy. In the detection of renal metastases, false-positive and false-negative intravenous urograms were encountered. It is concluded that IVU lacks sufficient sensitivity and specificity in the detection of renal metastatic GTD; alternate screening methods are recommended.
Smith
E B
EB
Dunnick
N R
NR
Nelson
P
P
Hammond
C B
CB
D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D009367:Neoplasm Staging; D011247:Pregnancy; D014057:Tomography, X-Ray Computed; D014328:Trophoblastic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000556:secondary; D014567:Urography; D014594:Uterine Neoplasms / Q000473:pathology*