eMedicine Specialties > Radiology > Genitourinary

Renal Cell Carcinoma: Multimedia

Author: Deborah A Baumgarten, MD, MPH, Associate Professor of Radiology, Associate Director, Diagnostic Radiology Residency Program, Director, Preliminary Radiology Program, Director, Abdominal Imaging Fellowship, Emory University School of Medicine
Coauthor(s): J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center; Philip Kenney, MD, Professor of Radiology and Chairman, Department of Radiology, University of Arkansas for Medical Sciences
Contributor Information and Disclosures

Updated: Oct 28, 2009

Multimedia

Case 1. Large renal cell carcinoma. Three-minute ...Media file 1: Case 1. Large renal cell carcinoma. Three-minute tomogram.
Case 1. Large renal cell carcinoma. Three-minute ...

Case 1. Large renal cell carcinoma. Three-minute tomogram.

Case 1. Large renal cell carcinoma. Delayed intra...Media file 2: Case 1. Large renal cell carcinoma. Delayed intravenous urographic image.
Case 1. Large renal cell carcinoma. Delayed intra...

Case 1. Large renal cell carcinoma. Delayed intravenous urographic image.

Case 1. Large renal cell carcinoma. Contrast-enha...Media file 3: Case 1. Large renal cell carcinoma. Contrast-enhanced computed tomography (CT) scan.
Case 1. Large renal cell carcinoma. Contrast-enha...

Case 1. Large renal cell carcinoma. Contrast-enhanced computed tomography (CT) scan.

Case 2. Large renal cell carcinoma. Delayed tomog...Media file 4: Case 2. Large renal cell carcinoma. Delayed tomogram.
Case 2. Large renal cell carcinoma. Delayed tomog...

Case 2. Large renal cell carcinoma. Delayed tomogram.

Case 2. Large renal cell carcinoma. Sonogram.Media file 5: Case 2. Large renal cell carcinoma. Sonogram.
Case 2. Large renal cell carcinoma. Sonogram.

Case 2. Large renal cell carcinoma. Sonogram.

Case 2. Large renal cell carcinoma. Contrast-enha...Media file 6: Case 2. Large renal cell carcinoma. Contrast-enhanced CT scan.
Case 2. Large renal cell carcinoma. Contrast-enha...

Case 2. Large renal cell carcinoma. Contrast-enhanced CT scan.

Case 3. Small left renal cell carcinoma is subtle...Media file 7: Case 3. Small left renal cell carcinoma is subtle on this intravenous urographic image.
Case 3. Small left renal cell carcinoma is subtle...

Case 3. Small left renal cell carcinoma is subtle on this intravenous urographic image.

Case 3. Small renal cell carcinoma. Tomogram.Media file 8: Case 3. Small renal cell carcinoma. Tomogram.
Case 3. Small renal cell carcinoma. Tomogram.

Case 3. Small renal cell carcinoma. Tomogram.

Case 3. Small renal cell carcinoma. Contrast-enha...Media file 9: Case 3. Small renal cell carcinoma. Contrast-enhanced CT scan.
Case 3. Small renal cell carcinoma. Contrast-enha...

Case 3. Small renal cell carcinoma. Contrast-enhanced CT scan.

Case 4. Renal cell carcinoma. Dedicated renal CT ...Media file 10: Case 4. Renal cell carcinoma. Dedicated renal CT scan. Before contrast enhancement, right kidney.
Case 4. Renal cell carcinoma. Dedicated renal CT ...

Case 4. Renal cell carcinoma. Dedicated renal CT scan. Before contrast enhancement, right kidney.

Case 4. Renal cell carcinoma. Dedicated renal CT ...Media file 11: Case 4. Renal cell carcinoma. Dedicated renal CT scan obtained before contrast enhancement. Right kidney has an attenuation measurement of 45.7 HU.
Case 4. Renal cell carcinoma. Dedicated renal CT ...

Case 4. Renal cell carcinoma. Dedicated renal CT scan obtained before contrast enhancement. Right kidney has an attenuation measurement of 45.7 HU.

Case 4. Renal cell carcinoma. Contrast-enhanced d...Media file 12: Case 4. Renal cell carcinoma. Contrast-enhanced dedicated renal CT scan. Right kidney.
Case 4. Renal cell carcinoma. Contrast-enhanced d...

Case 4. Renal cell carcinoma. Contrast-enhanced dedicated renal CT scan. Right kidney.

Case 4. Renal cell carcinoma. Contrast-enhanced d...Media file 13: Case 4. Renal cell carcinoma. Contrast-enhanced dedicated renal CT scan with an attenuation measurement of 101.7 HU.
Case 4. Renal cell carcinoma. Contrast-enhanced d...

Case 4. Renal cell carcinoma. Contrast-enhanced dedicated renal CT scan with an attenuation measurement of 101.7 HU.

Case 5. Typical renal cell carcinoma. CT scan obt...Media file 14: Case 5. Typical renal cell carcinoma. CT scan obtained before contrast enhancement has an attenuation measurement of 33.9 HU.
Case 5. Typical renal cell carcinoma. CT scan obt...

Case 5. Typical renal cell carcinoma. CT scan obtained before contrast enhancement has an attenuation measurement of 33.9 HU.

Case 5. Typical renal cell carcinoma. Contrast-en...Media file 15: Case 5. Typical renal cell carcinoma. Contrast-enhanced CT scan has an attenuation measurement of 75.8 HU.
Case 5. Typical renal cell carcinoma. Contrast-en...

Case 5. Typical renal cell carcinoma. Contrast-enhanced CT scan has an attenuation measurement of 75.8 HU.

Case 6. Multifocal renal cell carcinoma in a pati...Media file 16: Case 6. Multifocal renal cell carcinoma in a patient with Von Hippel-Lindau disease. Contrast-enhanced CT scan.
Case 6. Multifocal renal cell carcinoma in a pati...

Case 6. Multifocal renal cell carcinoma in a patient with Von Hippel-Lindau disease. Contrast-enhanced CT scan.

Case 6. Multifocal renal cell carcinoma in a pati...Media file 17: Case 6. Multifocal renal cell carcinoma in a patient with Von Hippel Lindau disease. Patient had already undergone a right nephrectomy. Contrast-enhanced CT scan.
Case 6. Multifocal renal cell carcinoma in a pati...

Case 6. Multifocal renal cell carcinoma in a patient with Von Hippel Lindau disease. Patient had already undergone a right nephrectomy. Contrast-enhanced CT scan.

Case 7. Multifocal renal cell carcinoma in patien...Media file 18: Case 7. Multifocal renal cell carcinoma in patient presenting with palpable mass. Nonenhanced CT scan.
Case 7. Multifocal renal cell carcinoma in patien...

Case 7. Multifocal renal cell carcinoma in patient presenting with palpable mass. Nonenhanced CT scan.

Case 7. Multifocal renal cell carcinoma. Nonenhan...Media file 19: Case 7. Multifocal renal cell carcinoma. Nonenhanced CT scan.
Case 7. Multifocal renal cell carcinoma. Nonenhan...

Case 7. Multifocal renal cell carcinoma. Nonenhanced CT scan.

Case 7. Multifocal renal cell carcinoma. Contrast...Media file 20: Case 7. Multifocal renal cell carcinoma. Contrast-enhanced CT scan.
Case 7. Multifocal renal cell carcinoma. Contrast...

Case 7. Multifocal renal cell carcinoma. Contrast-enhanced CT scan.

Case 7. Multifocal renal cell carcinoma. Contrast...Media file 21: Case 7. Multifocal renal cell carcinoma. Contrast-enhanced CT scan.
Case 7. Multifocal renal cell carcinoma. Contrast...

Case 7. Multifocal renal cell carcinoma. Contrast-enhanced CT scan.

Case 8. Cystic renal cell carcinoma. Nonenhanced ...Media file 22: Case 8. Cystic renal cell carcinoma. Nonenhanced CT scan with an attenuation measurement of 25.8 HU.
Case 8. Cystic renal cell carcinoma. Nonenhanced ...

Case 8. Cystic renal cell carcinoma. Nonenhanced CT scan with an attenuation measurement of 25.8 HU.

Case 8. Cystic renal cell carcinoma. Contrast-enh...Media file 23: Case 8. Cystic renal cell carcinoma. Contrast-enhanced CT scan with an attenuation measurement of 47.1 HU.
Case 8. Cystic renal cell carcinoma. Contrast-enh...

Case 8. Cystic renal cell carcinoma. Contrast-enhanced CT scan with an attenuation measurement of 47.1 HU.

Case 9. Cystic renal cell carcinoma. Contrast-enh...Media file 24: Case 9. Cystic renal cell carcinoma. Contrast-enhanced CT scan with an enhancing rim of soft tissue.
Case 9. Cystic renal cell carcinoma. Contrast-enh...

Case 9. Cystic renal cell carcinoma. Contrast-enhanced CT scan with an enhancing rim of soft tissue.

Case 9. Renal cell carcinoma. Metastatic lesion t...Media file 25: Case 9. Renal cell carcinoma. Metastatic lesion to the thoracic spine. Loss of the anterior cortex of a midthoracic vertebral body, with the suggestion of an anterior soft-tissue mass is shown.
Case 9. Renal cell carcinoma. Metastatic lesion t...

Case 9. Renal cell carcinoma. Metastatic lesion to the thoracic spine. Loss of the anterior cortex of a midthoracic vertebral body, with the suggestion of an anterior soft-tissue mass is shown.

Case 10. Stage 4 renal cell carcinoma. Metastatic...Media file 26: Case 10. Stage 4 renal cell carcinoma. Metastatic disease to the mediastinal nodes and left rib.
Case 10. Stage 4 renal cell carcinoma. Metastatic...

Case 10. Stage 4 renal cell carcinoma. Metastatic disease to the mediastinal nodes and left rib.

Case 10. Stage 4 renal cell carcinoma. Metastatic...Media file 27: Case 10. Stage 4 renal cell carcinoma. Metastatic disease to the liver.
Case 10. Stage 4 renal cell carcinoma. Metastatic...

Case 10. Stage 4 renal cell carcinoma. Metastatic disease to the liver.

Case 10. Stage 4 renal cell carcinoma. Metastatic...Media file 28: Case 10. Stage 4 renal cell carcinoma. Metastatic disease to the right iliac bone.
Case 10. Stage 4 renal cell carcinoma. Metastatic...

Case 10. Stage 4 renal cell carcinoma. Metastatic disease to the right iliac bone.

Case 11. Stage 3a renal cell carcinoma. Patient r...Media file 29: Case 11. Stage 3a renal cell carcinoma. Patient receiving long-term dialysis with a proven right-sided renal cell carcinoma. Image shows inferior vena cava invasion.
Case 11. Stage 3a renal cell carcinoma. Patient r...

Case 11. Stage 3a renal cell carcinoma. Patient receiving long-term dialysis with a proven right-sided renal cell carcinoma. Image shows inferior vena cava invasion.

Case 11. Stage 3a renal cell carcinoma. Right atr...Media file 30: Case 11. Stage 3a renal cell carcinoma. Right atrial extension of a tumor thrombus.
Case 11. Stage 3a renal cell carcinoma. Right atr...

Case 11. Stage 3a renal cell carcinoma. Right atrial extension of a tumor thrombus.

Case 12. Recurrent renal cell carcinoma. Status p...Media file 31: Case 12. Recurrent renal cell carcinoma. Status post–right nephrectomy with local recurrence (arrow) in nephrectomy bed. Contrast-enhanced CT scan.
Case 12. Recurrent renal cell carcinoma. Status p...

Case 12. Recurrent renal cell carcinoma. Status post–right nephrectomy with local recurrence (arrow) in nephrectomy bed. Contrast-enhanced CT scan.

Case 13. Recurrent renal cell carcinoma. Status p...Media file 32: Case 13. Recurrent renal cell carcinoma. Status post–left nephrectomy with metastatic disease to mediastinal nodes. Contrast-enhanced CT scan.
Case 13. Recurrent renal cell carcinoma. Status p...

Case 13. Recurrent renal cell carcinoma. Status post–left nephrectomy with metastatic disease to mediastinal nodes. Contrast-enhanced CT scan.

Case 13. Recurrent renal cell carcinoma. Status p...Media file 33: Case 13. Recurrent renal cell carcinoma. Status post left nephrectomy with metastatic disease to the contralateral adrenal gland.
Case 13. Recurrent renal cell carcinoma. Status p...

Case 13. Recurrent renal cell carcinoma. Status post left nephrectomy with metastatic disease to the contralateral adrenal gland.

Case 14. Recurrent renal cell carcinoma. Status p...Media file 34: Case 14. Recurrent renal cell carcinoma. Status post right nephrectomy with metastatic disease to the ipsilateral psoas muscle and liver.
Case 14. Recurrent renal cell carcinoma. Status p...

Case 14. Recurrent renal cell carcinoma. Status post right nephrectomy with metastatic disease to the ipsilateral psoas muscle and liver.

Case 14. Recurrent renal cell carcinoma. Status p...Media file 35: Case 14. Recurrent renal cell carcinoma. Status post right nephrectomy with metastatic disease to the liver.
Case 14. Recurrent renal cell carcinoma. Status p...

Case 14. Recurrent renal cell carcinoma. Status post right nephrectomy with metastatic disease to the liver.

Case 15. Renal cell carcinoma. Angiomyolipoma. Co...Media file 36: Case 15. Renal cell carcinoma. Angiomyolipoma. Contrast-enhanced CT scan.
Case 15. Renal cell carcinoma. Angiomyolipoma. Co...

Case 15. Renal cell carcinoma. Angiomyolipoma. Contrast-enhanced CT scan.

Case 16. Left renal cell carcinoma in patient who...Media file 37: Case 16. Left renal cell carcinoma in patient who underwent prior right nephrectomy for renal cell carcinoma. T1-weighted axial magnetic resonance image (MRI).
Case 16. Left renal cell carcinoma in patient who...

Case 16. Left renal cell carcinoma in patient who underwent prior right nephrectomy for renal cell carcinoma. T1-weighted axial magnetic resonance image (MRI).

Case 16. Left renal cell carcinoma in patient wit...Media file 38: Case 16. Left renal cell carcinoma in patient with prior right nephrectomy for renal cell carcinoma. T2-weighted axial MRI with renal vein invasion and extension of tumor into the inferior vena cava.
Case 16. Left renal cell carcinoma in patient wit...

Case 16. Left renal cell carcinoma in patient with prior right nephrectomy for renal cell carcinoma. T2-weighted axial MRI with renal vein invasion and extension of tumor into the inferior vena cava.

Case 16. Left renal cell carcinoma in patient wit...Media file 39: Case 16. Left renal cell carcinoma in patient with prior right nephrectomy for renal cell carcinoma. T2-weighted axial MRI obtained above the level in image 38. Tumor extends into the intrahepatic inferior vena cava.
Case 16. Left renal cell carcinoma in patient wit...

Case 16. Left renal cell carcinoma in patient with prior right nephrectomy for renal cell carcinoma. T2-weighted axial MRI obtained above the level in image 38. Tumor extends into the intrahepatic inferior vena cava.

Case 17. Large right renal cell carcinoma with re...Media file 40: Case 17. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T2-weighted axial MRI.
Case 17. Large right renal cell carcinoma with re...

Case 17. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T2-weighted axial MRI.

Case 17. Large right renal cell carcinoma with re...Media file 41: Case 17. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T2-weighted axial MRI.
Case 17. Large right renal cell carcinoma with re...

Case 17. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T2-weighted axial MRI.

Case 17. Large right renal cell carcinoma with re...Media file 42: Case 17. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T2-weighted coronal MRI.
Case 17. Large right renal cell carcinoma with re...

Case 17. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T2-weighted coronal MRI.

Case 18. Large right renal cell carcinoma with re...Media file 43: Case 18. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T1-weighted axial MRI before contrast enhancement.
Case 18. Large right renal cell carcinoma with re...

Case 18. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T1-weighted axial MRI before contrast enhancement.

Case 18. Large right renal cell carcinoma with re...Media file 44: Case 18. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T1-weighted contrast-enhanced axial MRI.
Case 18. Large right renal cell carcinoma with re...

Case 18. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T1-weighted contrast-enhanced axial MRI.

Case 18. Large right renal cell carcinoma with re...Media file 45: Case 18. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T2-weighted axial MRI.
Case 18. Large right renal cell carcinoma with re...

Case 18. Large right renal cell carcinoma with renal vein and inferior vena cava invasion. T2-weighted axial MRI.

Case 19. Left renal cell carcinoma in a patient w...Media file 46: Case 19. Left renal cell carcinoma in a patient with polycystic kidney disease. Axial T2-weighted MRI.
Case 19. Left renal cell carcinoma in a patient w...

Case 19. Left renal cell carcinoma in a patient with polycystic kidney disease. Axial T2-weighted MRI.

Case 19. Left renal cell carcinoma in a patient w...Media file 47: Case 19. Left renal cell carcinoma in a patient with polycystic kidney disease. Axial T1-weighted MRI before contrast enhancement.
Case 19. Left renal cell carcinoma in a patient w...

Case 19. Left renal cell carcinoma in a patient with polycystic kidney disease. Axial T1-weighted MRI before contrast enhancement.

Case 19. Left renal cell carcinoma in a patient w...Media file 48: Case 19. Left renal cell carcinoma in a patient with polycystic kidney disease. Axial T1-weighted contrast-enhanced MRI.
Case 19. Left renal cell carcinoma in a patient w...

Case 19. Left renal cell carcinoma in a patient with polycystic kidney disease. Axial T1-weighted contrast-enhanced MRI.

Case 20. Renal cell carcinoma. Oncocytoma. T2-wei...Media file 49: Case 20. Renal cell carcinoma. Oncocytoma. T2-weighted axial MRI.
Case 20. Renal cell carcinoma. Oncocytoma. T2-wei...

Case 20. Renal cell carcinoma. Oncocytoma. T2-weighted axial MRI.

Case 20. Renal cell carcinoma. Oncocytoma. Dynami...Media file 50: Case 20. Renal cell carcinoma. Oncocytoma. Dynamic enhanced coronal T1-weighted MRI.
Case 20. Renal cell carcinoma. Oncocytoma. Dynami...

Case 20. Renal cell carcinoma. Oncocytoma. Dynamic enhanced coronal T1-weighted MRI.

Case 21. Right renal cell carcinoma. Ultrasonogra...Media file 51: Case 21. Right renal cell carcinoma. Ultrasonogram.
Case 21. Right renal cell carcinoma. Ultrasonogra...

Case 21. Right renal cell carcinoma. Ultrasonogram.

Case 21. Right renal cell carcinoma. Doppler ultr...Media file 52: Case 21. Right renal cell carcinoma. Doppler ultrasonogram.
Case 21. Right renal cell carcinoma. Doppler ultr...

Case 21. Right renal cell carcinoma. Doppler ultrasonogram.

Case 21. Right renal cell carcinoma. Doppler ultr...Media file 53: Case 21. Right renal cell carcinoma. Doppler ultrasonogram obtained prior to the intravenous administration of ultrasonographic contrast agent.
Case 21. Right renal cell carcinoma. Doppler ultr...

Case 21. Right renal cell carcinoma. Doppler ultrasonogram obtained prior to the intravenous administration of ultrasonographic contrast agent.

Case 21. Right renal cell carcinoma. Doppler ultr...Media file 54: Case 21. Right renal cell carcinoma. Doppler ultrasonogram obtained after the intravenous administration of ultrasonographic contrast agent.
Case 21. Right renal cell carcinoma. Doppler ultr...

Case 21. Right renal cell carcinoma. Doppler ultrasonogram obtained after the intravenous administration of ultrasonographic contrast agent.

Case 22. Left renal cell carcinoma. Ultrasonogram.Media file 55: Case 22. Left renal cell carcinoma. Ultrasonogram.
Case 22. Left renal cell carcinoma. Ultrasonogram.

Case 22. Left renal cell carcinoma. Ultrasonogram.

Case 22. Left renal cell carcinoma. Nonenhanced C...Media file 56: Case 22. Left renal cell carcinoma. Nonenhanced CT scan.
Case 22. Left renal cell carcinoma. Nonenhanced C...

Case 22. Left renal cell carcinoma. Nonenhanced CT scan.

Case 22. Left renal cell carcinoma. Contrast-enha...Media file 57: Case 22. Left renal cell carcinoma. Contrast-enhanced CT scan.
Case 22. Left renal cell carcinoma. Contrast-enha...

Case 22. Left renal cell carcinoma. Contrast-enhanced CT scan.

Case 22. Left renal cell carcinoma. Anterior comp...Media file 58: Case 22. Left renal cell carcinoma. Anterior component of circumaortic renal vein is normal.
Case 22. Left renal cell carcinoma. Anterior comp...

Case 22. Left renal cell carcinoma. Anterior component of circumaortic renal vein is normal.

Case 22. Left renal cell carcinoma. Posterior com...Media file 59: Case 22. Left renal cell carcinoma. Posterior component of circumaortic renal vein is normal.
Case 22. Left renal cell carcinoma. Posterior com...

Case 22. Left renal cell carcinoma. Posterior component of circumaortic renal vein is normal.

Case 23. Renal cell carcinoma. Complex cyst. None...Media file 60: Case 23. Renal cell carcinoma. Complex cyst. Nonenhanced CT scan.
Case 23. Renal cell carcinoma. Complex cyst. None...

Case 23. Renal cell carcinoma. Complex cyst. Nonenhanced CT scan.

Case 23. Renal cell carcinoma. Complex cyst. Cont...Media file 61: Case 23. Renal cell carcinoma. Complex cyst. Contrast-enhanced CT scan.
Case 23. Renal cell carcinoma. Complex cyst. Cont...

Case 23. Renal cell carcinoma. Complex cyst. Contrast-enhanced CT scan.

Case 23. Renal cell carcinoma. Complex cyst. Ultr...Media file 62: Case 23. Renal cell carcinoma. Complex cyst. Ultrasonogram with low-level echoes.
Case 23. Renal cell carcinoma. Complex cyst. Ultr...

Case 23. Renal cell carcinoma. Complex cyst. Ultrasonogram with low-level echoes.

Case 23. Renal cell carcinoma. Complex cyst. Dopp...Media file 63: Case 23. Renal cell carcinoma. Complex cyst. Doppler ultrasonogram shows no internal flow.
Case 23. Renal cell carcinoma. Complex cyst. Dopp...

Case 23. Renal cell carcinoma. Complex cyst. Doppler ultrasonogram shows no internal flow.

Case 24 CT axial image from a CT angiogram on a p...Media file 64: Case 24 CT axial image from a CT angiogram on a patient with renal cell carcinoma in a horseshoe kidney.
Case 24 CT axial image from a CT angiogram on a p...

Case 24 CT axial image from a CT angiogram on a patient with renal cell carcinoma in a horseshoe kidney.

Case 24 CT axial image slightly lower from a CT a...Media file 65: Case 24 CT axial image slightly lower from a CT angiogram on a patient with renal cell carcinoma in a horseshoe kidney.
Case 24 CT axial image slightly lower from a CT a...

Case 24 CT axial image slightly lower from a CT angiogram on a patient with renal cell carcinoma in a horseshoe kidney.

Case 24 Volume rendered image from a CT angiogram...Media file 66: Case 24 Volume rendered image from a CT angiogram on a patient with renal cell carcinoma in a horseshoe kidney. The tumor has been colored to show relationship to the multiple renal arteries (two on the left and two on the right, one of which comes from below from the iliac artery).
Case 24 Volume rendered image from a CT angiogram...

Case 24 Volume rendered image from a CT angiogram on a patient with renal cell carcinoma in a horseshoe kidney. The tumor has been colored to show relationship to the multiple renal arteries (two on the left and two on the right, one of which comes from below from the iliac artery).

More on Renal Cell Carcinoma

Overview: Renal Cell Carcinoma
Imaging: Renal Cell Carcinoma
Follow-up: Renal Cell Carcinoma
Multimedia: Renal Cell Carcinoma
References
Further Reading

References

  1. American Cancer Society. Cancer reference information, detailed guide: kidney cancer staging. American Cancer Society Web site. Available at: http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_How_is_kidney_cancer_staged_22.asp?sitearea=. Accessed October 6, 2006[Full Text].

  2. American Cancer Society. Cancer reference information, detailed guide: kidney cancer statistics. American Cancer Society Web site. Available at: http://www.cancer.org/docroot/cri/content/cri_2_4_1x_what_are_the_key_statistics_for_kidney_cancer_22.asp?sitearea=&level=. Accessed October 27, 2009[Full Text].

  3. Oliva MR, Glickman JN, Zou KH, Teo SY, Mortelé KJ, Rocha MS, et al. Renal cell carcinoma: t1 and t2 signal intensity characteristics of papillary and clear cell types correlated with pathology. AJR Am J Roentgenol. Jun 2009;192(6):1524-30. [Medline].

  4. Guzzo TJ, Pierorazio PM, Schaeffer EM, Fishman EK, Allaf ME. The accuracy of multidetector computerized tomography for evaluating tumor thrombus in patients with renal cell carcinoma. J Urol. Feb 2009;181(2):486-90; discussion 491. [Medline].

  5. Taouli B, Thakur RK, Mannelli L, Babb JS, Kim S, Hecht EM, et al. Renal lesions: characterization with diffusion-weighted imaging versus contrast-enhanced MR imaging. Radiology. May 2009;251(2):398-407. [Medline].

  6. Chae EJ, Kim JK, Kim SH, et al. Renal cell carcinoma: analysis of postoperative recurrence patterns. Radiology. Jan 2005;234(1):189-96. [Medline].

  7. DeRoche T, Walker E, Magi-Galluzzi C, Zhou M. Pathologic characteristics of solitary small renal masses: can they be predicted by preoperative clinical parameters?. Am J Clin Pathol. October 2008;130:560-564. [Medline].

  8. Bulnes Vázquez V, Alvarez-Múgica M, Fernández Gómez JM, Nava Tomás E, Jalón Monzón A, Meilán Martínez A. [Clinicopathologic features of renal cell carcinoma incidentally detected through radiological studies]. Actas Urol Esp. Nov-Dec 2008;32(10):976-84. [Medline].

  9. Gabr AH, Gdor Y, Roberts WW, Wolf JS Jr. Radiographic surveillance of minimally and moderately complex renal cysts. BJU Int. Apr 2009;103(8):1116-9. [Medline].

  10. Wang ZJ, Coakley FV, Fu Y, Joe BN, Prevrhal S, Landeras LA, et al. Renal cyst pseudoenhancement at multidetector CT: what are the effects of number of detectors and peak tube voltage?. Radiology. September 2008;248:910-916. [Medline].

  11. Juluru K, Vogel-Claussen J, Macura KJ, Kamel IR, Steever A, Bluemke DA. MR Imaging in Patients at Risk for Developing Nephrogenic Systemic Fibrosis: Protocols, Practices, and Imaging Techniques to Maximize Patient Safety. Radiographics. Epub ahead of print:[Medline].

  12. Hill KL, Lipson AC, Sheehan JM. Brain magnetic resonance imaging changes after sorafenib and sunitinib chemotherapy in patients with advanced renal cell and breast carcinoma. J Neurosurg. Feb 6 2009;[Medline].

  13. Wu B, Peng WJ, Gu YJ, Yang TX, Jiang ZX, Zhang HL, et al. [MR imaging features of different renal cell carcinoma subtypes.]. Zhonghua Zhong Liu Za Zhi. Nov 2008;30(11):825-30. [Medline].

  14. Sun MR, Ngo L, Genega EM, Atkins MB, Finn ME, Rofsky NM, et al. Renal cell carcinoma: dynamic contrast-enhanced MR imaging for differentiation of tumor subtypes--correlation with pathologic findings. Radiology. Mar 2009;250(3):793-802. [Medline].

  15. Tamai H, Takiguchi Y, Oka M. Contrast-enhanced ultrasonography in the diagnosis of solid renal tumors. J Ultrasound Med. Dec 2005;24(12):1635-40.

  16. Roy C, Gengler L, Sauer B, Lang H. [Role of contrast enhanced US in the evaluation of renal tumors]. J Radiol. Nov 2008;89(11 Pt 1):1735-44. [Medline].

  17. Warshauer DM, McCarthy SM, Street L. Detection of renal masses: sensitivities and specificities of excretory urography/linear tomography, US, and CT. Radiology. Nov 1988;169(2):363-5.

  18. Gervais DA, Arellano RS, McGovern FJ. Radiofrequency ablation of renal cell carcinoma: part 2, Lessons learned with ablation of 100 tumors. AJR Am J Roentgenol. Jul 2005;185(1):72-80.

  19. Gervais DA, McGovern FJ, Arellano RS. Radiofrequency ablation of renal cell carcinoma: part 1, Indications, results, and role in patient management over a 6-year period and ablation of 100 tumors. AJR Am J Roentgenol. Jul 2005;185(1):64-71.

  20. Lebret T, Poulain JE, Molinie V, Herve JM, Denoux Y, Guth A, et al. Percutaneous core biopsy for renal masses: indications, accuracy and results. J Urol. October 2007;178:1184-1188. [Medline].

  21. Maturen KE, Nghiem HV, Caoili EM, Higgins EG, Wolf JS Jr, Wood DP Jr. Renal mass core biopsy: accuracy and impact on clinical management. AJR Am J Roentgenol. February 2007;188:563-570. [Medline].

  22. Silverman SG, Israel GM, Herts BR, Richie JP. Management of the incidental renal mass. Radiology. October 2008;249:16-31. [Medline].

  23. Bae KT, Heiken JP, Siegel CL, Bennett HF. Renal cysts: is attenuation artifactually increased on contrast- enhanced CT images?. Radiology. Sep 2000;216(3):792-6. [Medline].

  24. Birnbaum BA, Jacobs JE, Ramchandani P. Multiphasic renal CT: comparison of renal mass enhancement during the corticomedullary and nephrographic phases. Radiology. Sep 1996;200(3):753-8. [Medline].

  25. Campbell SC, Novick AC, Herts B, et al. Prospective evaluation of fine needle aspiration of small, solid renal masses: accuracy and morbidity. Urology. Jul 1997;50(1):25-9. [Medline].

  26. Choyke PL. Detection and staging of renal cancer. Magn Reson Imaging Clin N Am. Feb 1997;5(1):29-47. [Medline].

  27. Choyke PL, Glenn GM, Walther MM, et al. Hereditary renal cancers. Radiology. Jan 2003;226(1):33-46. [Medline].

  28. Coll DM, Herts BR, Davros WJ, et al. Preoperative use of 3D volume rendering to demonstrate renal tumors and renal anatomy. Radiographics. Mar-Apr 2000;20(2):431-8. [Medline].

  29. Coulam CH, Sheafor DH, Leder RA, et al. Evaluation of pseudoenhancement of renal cysts during contrast-enhanced CT. AJR Am J Roentgenol. Feb 2000;174(2):493-8. [Medline].

  30. Elmore JM, Kadesky KT, Koeneman KS, Sagalowsky AI. Reassessment of the 1997 TNM classification system for renal cell carcinoma. Cancer. Dec 1 2003;98(11):2329-34. [Medline].

  31. Farrell MA, Charboneau WJ, DiMarco DS, et al. Imaging-guided radiofrequency ablation of solid renal tumors. AJR Am J Roentgenol. Jun 2003;180(6):1509-13. [Medline].

  32. Heneghan JP, Spielmann AL, Sheafor DH, et al. Pseudoenhancement of simple renal cysts: a comparison of single and multidetector helical CT. J Comput Assist Tomogr. Jan-Feb 2002;26(1):90-4. [Medline].

  33. Hsu RM, Chan DY, Siegelman SS. Small renal cell carcinomas: correlation of size with tumor stage, nuclear grade, and histologic subtype. AJR Am J Roentgenol. Mar 2004;182(3):551-7. [Medline].

  34. Kier R, Taylor KJ, Feyock AL, Ramos IM. Renal masses: characterization with Doppler US. Radiology. Sep 1990;176(3):703-7. [Medline].

  35. Kim JK, Park SY, Shon JH, Cho KS. Angiomyolipoma with minimal fat: differentiation from renal cell carcinoma at biphasic helical CT. Radiology. Mar 2004;230(3):677-84. [Medline].

  36. Kopka L, Fischer U, Zoeller G, et al. Dual-phase helical CT of the kidney: value of the corticomedullary and nephrographic phase for evaluation of renal lesions and preoperative staging of renal cell carcinoma. AJR Am J Roentgenol. Dec 1997;169(6):1573-8. [Medline].

  37. Kuijpers D, Jaspers R. Renal masses: differential diagnosis with pulsed Doppler US. Radiology. Jan 1989;170(1 Pt 1):59-60. [Medline].

  38. Landis SH, Murray T, Bolden S, Wingo PA. Cancer statistics, 1999. CA Cancer J Clin. Jan-Feb 1999;49(1):8-31, 1. [Medline].

  39. Lockhart ME, Smith JK. Technical considerations in renal CT. Radiol Clin North Am. Sep 2003;41(5):863-75. [Medline].

  40. Macari M, Bosniak MA. Delayed CT to evaluate renal masses incidentally discovered at contrast-enhanced CT: demonstration of vascularity with deenhancement. Radiology. Dec 1999;213(3):674-80. [Medline].

  41. Maki DD, Birnbaum BA, Chakraborty DP, et al. Renal cyst pseudoenhancement: beam-hardening effects on CT numbers. Radiology. Nov 1999;213(2):468-72. [Medline].

  42. Mayo-Smith WW, Dupuy DE, Parikh PM, et al. Imaging-guided percutaneous radiofrequency ablation of solid renal masses: techniques and outcomes of 38 treatment sessions in 32 consecutive patients. AJR Am J Roentgenol. Jun 2003;180(6):1503-8. [Medline].

  43. McLaughlin CA, Chen MY, Torti FM, et al. Radiofrequency ablation of isolated local recurrence of renal cell carcinoma after radical nephrectomy. AJR Am J Roentgenol. Jul 2003;181(1):93-4. [Medline].

  44. Narumi Y, Hricak H, Presti JC Jr, et al. MR imaging evaluation of renal cell carcinoma. Abdom Imaging. Mar-Apr 1997;22(2):216-25. [Medline].

  45. Nissenkorn I, Bernheim J. Multicentricity in renal cell carcinoma. J Urol. Mar 1995;153(3 Pt 1):620-2. [Medline].

  46. Outwater EK, Bhatia M, Siegelman ES, et al. Lipid in renal clear cell carcinoma: detection on opposed-phase gradient-echo MR images. Radiology. 1997;205:103-7. [Medline].

  47. Pretorius ES, Wickstrom ML, Siegelman ES. MR imaging of renal neoplasms. Magn Reson Imaging Clin N Am. Nov 2000;8(4):813-36. [Medline].

  48. Ramos IM, Taylor KJ, Kier R, et al. Tumor vascular signals in renal masses: detection with Doppler US. Radiology. Sep 1988;168(3):633-7. [Medline].

  49. Rybicki FJ, Shu KM, Cibas ES, et al. Percutaneous biopsy of renal masses: sensitivity and negative predictive value stratified by clinical setting and size of masses. AJR Am J Roentgenol. May 2003;180(5):1281-7. [Medline].

  50. Scatarige JC, Sheth S, Corl FM, Fishman EK. Patterns of recurrence in renal cell carcinoma: manifestations on helical CT. AJR Am J Roentgenol. Sep 2001;177(3):653-8. [Medline].

  51. Scialpi M, Di Maggio A, Midiri M, et al. Small renal masses: assessment of lesion characterization and vascularity on dynamic contrast-enhanced MR imaging with fat suppression. AJR Am J Roentgenol. Sep 2000;175(3):751-7. [Medline].

  52. Siegel CL, Fisher AJ, Bennett HF. Interobserver variability in determining enhancement of renal masses on helical CT. AJR Am J Roentgenol. May 1999;172(5):1207-12. [Medline].

  53. Suh M, Coakley FV, Qayyum A, et al. Distinction of renal cell carcinomas from high-attenuation renal cysts at portal venous phase contrast-enhanced CT. Radiology. Aug 2003;228(2):330-4. [Medline].

  54. Szolar DH, Kammerhuber F, Altziebler S, et al. Multiphasic helical CT of the kidney: increased conspicuity for detection and characterization of small (< 3-cm) renal masses. Radiology. Jan 1997;202(1):211-7. [Medline].

  55. Takebayashi S, Hidai H, Chiba T, et al. Using helical CT to evaluate renal cell carcinoma in patients undergoing hemodialysis: value of early enhanced images. AJR Am J Roentgenol. Feb 1999;172(2):429-33. [Medline].

  56. Tuncali K, vanSonnenberg E, Shankar S. Evaluation of patients referred for percutaneous ablation of renal tumors: importance of a preprocedural diagnosis. AJR Am J Roentgenol. Sep 2004;183(3):575-82. [Medline].

  57. Vallancien G, Torres LO, Gurfinkel E. Incidental detection of renal tumours by abdominal ultrasonography. Eur Urol. 1990;18(2):94-6. [Medline].

  58. Yoshimitsu K, Honda H, Kuroiwa T. MR detection of cytoplasmic fat in clear cell renal cell carcinoma utilizing chemical shift gradient-echo imaging. J Magn Res Imag. 1999;9:579-85. [Medline].

  59. Zagoria RJ, Hawkins AD, Clark PE, et al. Percutaneous CT-guided radiofrequency ablation of renal neoplasms: factors influencing success. AJR Am J Roentgenol. Jul 2004;183(1):201-7. [Medline].

  60. Zeman RK, Zeiberg A, Hayes WS, et al. Helical CT of renal masses: the value of delayed scans. AJR Am J Roentgenol. Sep 1996;167(3):771-6. [Medline].

Keywords

renal cell carcinoma, renal adenomas, clear cell carcinomas, RCC, hypernephromas, kidney cell carcinoma, kidney carcinoma, nephric carcinoma, nephric cell carcinoma, renal cancer, kidney cancer, nephric cancer, renal cancer, kidney cell cancer

Contributor Information and Disclosures

Author

Deborah A Baumgarten, MD, MPH, Associate Professor of Radiology, Associate Director, Diagnostic Radiology Residency Program, Director, Preliminary Radiology Program, Director, Abdominal Imaging Fellowship, Emory University School of Medicine
Deborah A Baumgarten, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, American Association for Women Radiologists, American College of Radiology, American Medical Association, American Roentgen Ray Society, Association of Program Directors in Radiology, Association of University Radiologists, Radiological Society of North America, Sigma Xi, and Society of Uroradiology
Disclosure: Nothing to disclose.

Coauthor(s)

J Kevin Smith, MD, PhD, Professor of Abdominal Imaging, Vice Chair for Veterans Affairs, Department of Radiology, University of Alabama at Birmingham; Chief of Service, Department of Radiology, Birmingham Veterans Affairs Medical Center
J Kevin Smith, MD, PhD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, International Society for Magnetic Resonance in Medicine, Radiological Society of North America, and Society of Radiologists in Ultrasound
Disclosure: Nothing to disclose.

Philip Kenney, MD, Professor of Radiology and Chairman, Department of Radiology, University of Arkansas for Medical Sciences
Philip Kenney, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society of Uroradiology
Disclosure: Nothing to disclose.

Medical Editor

Steven Perlmutter, MD, FACR, Associate Professor of Clinical Radiology, School of Medicine at Stony Brook University; Medical Director of Radiology, Peconic Bay Medical Center
Steven Perlmutter, MD, FACR is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, American Medical Association, American Roentgen Ray Society, Association of Program Directors in Radiology, Association of University Radiologists, Medical Society of the State of New York, Radiological Society of North America, Society of Breast Imaging, Society of Nuclear Medicine, and Society of Uroradiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Arnold C Friedman, MD, FACR, Associate Chairman, Department of Radiology, University of Florida Health Science Center; Chief, Department of Radiology, Shands-Jacksonville Hospital
Arnold C Friedman, MD, FACR is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.