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Malignant Renal Tumor
Malignant Renal Tumor
Malignant Renal Tumor
S. Wichien
Renal pseudotumors -hypertrophied column of Bertin -renal dysmorphism -unusually shaped kidney DMSA, dimercaptosuccinic acid -inc density pseudotumor -dec density cyst/solid tumor RMB, renal mass biopsy
Renal CT scan
After administration of the contrast Unenhanced CT scan shows agent, CT scan shows HU > 20 solid, right posterior renal mass
Renal scan
A, CT scan after administration of contrast material shows isodense hilar mass in solitary right kidney. B, Right renal arteriography shows no neovascularity. C, Glucoheptonate isotope renal scan shows increased density of mass indicative of hypertrophied column of Bertin.
A large enhancing mass in the lateral anterior right kidney that is partially exophytic and extends to the central sinus
Bosniak Classification
Bosniak class II renal cysts A, CT scan shows right renal cyst with thin internal septation. B, CT scan in another patient shows relatively thin, curvilinear calcification in the septa of the wall of right renal cyst.
Bosniak class II hyperdense cyst A, Unenhanced CT scan shows small, smooth-walled, highdensity left renal cyst. B, CT scan after administration of contrast material shows no enhancement of the cyst
Bosniak class III cysts A, CT scan shows complex right renal cyst with thick and irregular septa and inhomogeneous Character
B, CT scan shows somewhat thick-walled, complex left renal cyst also exhibiting irregular calcification and moderate heterogeneity
Bosniak class IV cysts A, CT scan shows complex left renal cystic lesion with thick, enhancing walls.
B, CT scan shows complex right cystic lesion with enhancing nodular areas and inhomogeneity. Both lesions proved to be renal cell carcinoma
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