Dr. med. Dirk Manski



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Renal Tumor or Kidney Tumor: Differential Diagnosis

Differential Diagnosis of Renal Tumors

Inflammatory renal tumors:

Tumors of Renal Parenchyma:

Tumors of the renal pelvis:

Cystic renal tumors:

Renal tumors of the vascular system:

Renal tumors of the nervous system:

Mesenchymal renal tumors:

Perirenal renal tumors:

Renal metastases:

Renal metastases are the most common malignant manifestation of the kidneys in autopsies. Common primary cancer sites are lung cancer, breast cancer, gastrointestinal cancer, malignant melanoma and lymphoma.

Diagnostic Work-Up for Renal Tumors

Laboratory tests:

Ultrasonography:

Renal sonography is the basic imaging tool for renal tumors. Suspicious lesions of the kidney in ultrasound imaging are further investigated with computed tomography or MRI.

Abdominal CT:

Abdominal CT is the imaging test of choice to verify a renal tumor. In addition to diagnosis and preoperative staging, the renal function of both kidneys can be estimated.

MRI:

Abdominal MRI is indicated in renal insufficiency, contraindication to contrast media, in doubtful findings in CT or if vena cava thrombus is present.

Surgical exploration:

Surgical exploration of the kidney with partial nephrectomy is indicated for renal tumors, if malignant disease has to be ruled out with a histological diagnosis.







Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z



References


A. J. Wein, L. R. Kavoussi, A. C. Novick, A. P. Partin, und C. A. Peters.
Campbell-Walsh Urology.
Saunders, Philadelphia, 9th edition, 2007.


  Deutsche Version: Differentialdiagnose Nierentumor