[Solid or cystic renal mass].
In a patient with a bacterial nephritis and renal stones an incidental finding of a complicated renal cyst on the opposite side was made on CT scan. In contrast to the CT findings, on ultrasound examination the lesion appeared to be a solid mass. The injection of ultrasound contrast material confirmed this by showing an enhancement of the whole lesion. Finally, the histological finding after nephrectomy results in a renal cell carcinoma pT1a. In this situation contrast enhanced ultrasound seems to be more sensitive than CT scan in detecting the perfusion of a renal mass.
Medizinische Klinik, Spital Thun. daniel.weiss@spitalstag.ch
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Weiss
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Kummer
D000368:Aged; D002292:Carcinoma, Renal Cell / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007089:Image Enhancement; D033162:Incidental Findings; D052177:Kidney Diseases, Cystic / Q000175:diagnosis* / Q000473:pathology; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D009367:Neoplasm Staging; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Solider oder zystischer Nierentumor?