[A kidney tumor as an incidental ultrasound finding].
Renal cell carcinomas used to have a poor prognosis due to the absence of early symptoms. The advent of ultrasound examination increased the rate of incidentally detected renal cell carcinomas from 10% to more than 50%. Incidental carcinomas are smaller than symptomatic ones, have a lower T-stage and lower grading, and patients are 8 years younger on average. This leads to a better prognosis of incidental renal cell carcinomas with an average survival rate of up to 90% after 1 and 5 years. In early detection of renal cancer ultrasound is more effective than urography. Screening by ultrasound is too expensive. The incidence of small renal cell carcinomas with a diameter up to 3 cm is increasing. These tumours are often hyperechoic and can be differentiated from angiomyolipomas by a characteristic anechoic rim.
Medizinische Klinik des Kreiskrankenhauses Böblingen.
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Reuss
D000328:Adult; D000368:Aged; D018207:Angiomyolipoma / Q000175:diagnosis / Q000473:pathology; D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000473:pathology; D011379:Prognosis; D014463:Ultrasonography
Der Nierentumor als sonographischer Zufallsbefund.