Anand V. Badri1, Nikhil Waingankar2, Kristin Edwards3, Alexander Kutikov1, Rosaleen B. Parsons3, David Y. Chen1, Marc C. Smaldone1, Rosalia Viterbo1, Richard E. Greenberg1, Robert G. Uzzo1
Canadian Journal of Urology, Vol.26, No.5, pp. 9916-9921, 2019
Abstract Introduction: Current radiographic guidelines suggest unenhanced renal lesions < 20 Hounsfield Units (HU) are overwhelmingly benign, requiring no further evaluation. We evaluate our experience with papillary renal cell carcinoma (pRCC) presenting with low pre-contrast attenuation and the relationship of attenuation with histologic pRCC subtype.
Materials and methods: We reviewed our institutional kidney cancer database for patients with pT1 or pT2 pRCC between 2003-2017. Tumors were categorized by papillary subtype by expert uropathologists. Preoperative CT images were analyzed at six regional tumor locations. Low, presumably benign, unenhanced median attenuation was defined as ≤ 20 HU. We calculated the… More >