Does the finding of a indeterminate mass lesion in screening CT result in kidney loss and is postoperative follow-up necessary in renal oncocytomas? A retrospective study

Simple item page
dc.contributor.authorÖzkol M.
dc.contributor.authorCan E.
dc.contributor.authorZorlu F.
dc.contributor.authorGümüş B.
dc.date.accessioned2024-07-22T08:23:26Z
dc.date.available2024-07-22T08:23:26Z
dc.date.issued2006
dc.description.abstractObjective. Sixteen patients who were operated on with a preoperative diagnosis of renal tumor were diagnosed with renal oncocytoma between 1991 and 2004. The reliability of preoperative diagnosis, the role of screening CT in organ preservation and the need for follow-up for renal oncocytomas are discussed in the light of literature findings. Material and methods. Among 345 patients diagnosed with renal tumors in the previous 13 years, the clinical and radiological features of the 16 patients with renal oncocytomas and the results during the postoperative follow-up period were evaluated in this retrospective study. The female:male ratio was 4.3. Two of the patients complained of hematuria whereas the other 14 experienced lumbocostal pain. The mean dimensions of the tumors on CT scans were 5.7±2.88 cm. Central fibrous scarring existed in three patients. Two patients underwent tumor enucleation, three underwent partial nephrectomy and 11 underwent radical nephrectomy. Results. Screening CT could not achieve a precise preoperative differential diagnosis from malignant renal mass. The organ preservation ratio was approximately 1:3 based on the radiological diagnosis. Screening CT scans showed oncocytomas with diameters greater than those reported in the literature, indicating a need for urgent nephrectomy. No recurrences, metastases or deaths due to renal oncocytoma were observed in the postoperative follow-up period (mean 6.7±4 years; range 1-13 years). Conclusions. Preoperative diagnosis of renal oncocytoma is very difficult. The postoperative follow-up period in our series was 13 years, which is significantly longer than the duration proposed in the literature. © 2006 Taylor & Francis.
dc.identifier.DOI-ID10.1080/00365590600752587
dc.identifier.issn16512065
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/19540
dc.language.isoEnglish
dc.subjectAdenoma, Oxyphilic
dc.subjectAdult
dc.subjectAged
dc.subjectFemale
dc.subjectFollow-Up Studies
dc.subjectHumans
dc.subjectKidney
dc.subjectKidney Neoplasms
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPostoperative Period
dc.subjectRetrospective Studies
dc.subjectTomography, X-Ray Computed
dc.subjectiohexol
dc.subjectadult
dc.subjectaged
dc.subjectarticle
dc.subjectcancer mortality
dc.subjectcancer recurrence
dc.subjectclinical article
dc.subjectcomputed tomography scanner
dc.subjectcomputer assisted tomography
dc.subjectcontrast enhancement
dc.subjectdifferential diagnosis
dc.subjectenucleation
dc.subjectfemale
dc.subjectfollow up
dc.subjecthematuria
dc.subjecthuman
dc.subjecthuman tissue
dc.subjectkidney tumor
dc.subjectlow back pain
dc.subjectmale
dc.subjectmetastasis
dc.subjectnephrectomy
dc.subjectoncocytoma
dc.subjectorgan preservation
dc.subjectpartial nephrectomy
dc.subjectpostoperative period
dc.subjectpreoperative evaluation
dc.subjectpriority journal
dc.subjectreliability
dc.subjectretrospective study
dc.subjectscar formation
dc.subjectsex ratio
dc.subjecttumor volume
dc.titleDoes the finding of a indeterminate mass lesion in screening CT result in kidney loss and is postoperative follow-up necessary in renal oncocytomas? A retrospective study
dc.typeArticle

Files

Collections

Scopus Koleksiyonu