| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Radiology, Vol 197, 589-597, Copyright © 1995 by Radiological Society of North America
ARTICLES |
MA Bosniak, BA Birnbaum, GA Krinsky and J Waisman
Department of Radiology, New York University Medical Center, NY 10016, USA.
PURPOSE: To determine the growTH rate and behavior of small (< or = 3.5- cm diameter) incidentally detected renal parenchymal neoplasms. MATERIALS AND METHODS: Forty renal parenchymal tumors in 37 adult patients (mean age, 65.5 years) were observed with computed tomography (CT) and ultrasound for 1.75-8.5 years (mean, 3.25 years). Surgical removal was performed of 26 tumors proved and graded at pathologic examination. Fourteen tumors with CT criteria of neoplasm are being followed up. RESULTS: The overall growth rate of neoplasms was 0-1.1 cm/y (mean, 0.36 cm/y). Thirty tumors grew 0.5 cm/y or less and 19 grew very slowly (< or = 0.35 cm/y). No patient developed metastatic disease. Nine (24%) had multiple neoplasms. CONCLUSION: Most small, incidentally discovered, well-marginated renal parenchymal neoplasms grow slowly and are not an immediate threat to a patient's life. Watchful waiting might be appropriate instead of surgical removal, especially in patients who are elderly or may not survive surgery.
This article has been cited by other articles:
|
|
 |
|
  R. J. Zagoria, M. A. Traver, D. M. Werle, M. Perini, S. Hayasaka, and P. E. Clark Oncologic Efficacy of CT-Guided Percutaneous Radiofrequency Ablation of Renal Cell Carcinomas Am. J. Roentgenol., August 1, 2007; 189(2): 429 - 436. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Zhang, R. A. Lefkowitz, N. M. Ishill, L. Wang, C. S. Moskowitz, P. Russo, H. Eisenberg, and H. Hricak Solid Renal Cortical Tumors: Differentiation with CT Radiology, August 1, 2007; 244(2): 494 - 504. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. D. Atwell and M. A. Farrell Invited Commentary RadioGraphics, March 1, 2007; 27(2): 339 - 340. [Full Text] [PDF]
|
|
|
|
|
|
S. G. Silverman, Y. U. Gan, K. J. Mortele, K. Tuncali, and E. S. Cibas Renal Masses in the Adult Patient: The Role of Percutaneous Biopsy Radiology, July 1, 2006; 240(1): 6 - 22. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J. Zagoria Imaging-guided Radiofrequency Ablation of Renal Masses RadioGraphics, October 1, 2004; 24(suppl_1): S59 - S71. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Jinzaki, J. D. McTavish, K. H. Zou, P. F. Judy, and S. G. Silverman Evaluation of Small (<= 3 cm) Renal Masses with MDCT: Benefits of Thin Overlapping Reconstructions Am. J. Roentgenol., July 1, 2004; 183(1): 223 - 228. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Ozono, N. Miyao, T. Igarashi, K. Marumo, H. Nakazawa, M. Fukuda, T. Tsushima, N. Tokuda, J. Kawamura, M. Murai, et al. Tumor Doubling Time of Renal Cell Carcinoma Measured by CT: Collaboration of Japanese Society of Renal Cancer Jpn. J. Clin. Oncol., February 1, 2004; 34(2): 82 - 85. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. W. Mayo-Smith, D. E. Dupuy, P. M. Parikh, J. A. Pezzullo, and J. J. Cronan Imaging-Guided Percutaneous Radiofrequency Ablation of Solid Renal Masses: Techniques and Outcomes of 38 Treatment Sessions in 32 Consecutive Patients Am. J. Roentgenol., June 1, 2003; 180(6): 1503 - 1508. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. H. Roy-Choudhury, J. E. I. Cast, G. Cooksey, S. Puri, and D. J. Breen Early Experience with Percutaneous Radiofrequency Ablation of Small Solid Renal Masses Am. J. Roentgenol., April 1, 2003; 180(4): 1055 - 1061. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Y. Jeong, D. G. Mitchell, and T. Kamishima Small (<20 mm) Enhancing Hepatic Nodules Seen on Arterial Phase MR Imaging of the Cirrhotic Liver: Clinical Implications Am. J. Roentgenol., June 1, 2002; 178(6): 1327 - 1334. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C Fowler and R H Reznek The indeterminate renal mass Imaging, April 1, 2001; 13(1): 27 - 43. [Full Text]
|
|
|
|
|
|
D. A. Gervais, F. J. McGovern, B. J. Wood, S. N. Goldberg, W. S. McDougal, and P. R. Mueller Radio-frequency Ablation of Renal Cell Carcinoma: Early Clinical Experience Radiology, December 1, 2000; 217(3): 665 - 672. [Abstract] [Full Text]
|
|
|
|
|
|
R. J. Zagoria Imaging of Small Renal Masses: A Medical Success Story Am. J. Roentgenol., October 1, 2000; 175(4): 945 - 955. [Full Text] [PDF]
|
|
|
|
|
|
M. Macari and M. A. Bosniak Delayed CT to Evaluate Renal Masses Incidentally Discovered at Contrast-enhanced CT: Demonstration of Vascularity with Deenhancement Radiology, December 1, 1999; 213(3): 674 - 680. [Abstract] [Full Text]
|
|
|
|
 |
|
 W. C. Black RESPONSES - Re: Trends in Reported Incidence of Primary Malignant Brain Tumors in Children in the United States J Natl Cancer Inst, April 7, 1999; 91(7): 648a - 649a. [Full Text] [PDF]
|
|
|
|
 |
|
 M. B. Atkins, J. P. Dutcher, G. Grateau, C. Veyssier, M. A. Bosniak, T. Kuopio, J. Castren, Y. Collan, R. J. Motzer, N. H. Bander, et al. Renal-Cell Carcinoma N. Engl. J. Med., March 13, 1997; 336(11): 809 - 811. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
