Comparative Analysis of Radiologically Measured Size and True Size of Renal Tumors
Korean Journal of Urology
;
: 738-743, 2013.
Article
Dans Anglais
| WPRIM
| ID: wpr-116157
ABSTRACT
PURPOSE:
We evaluated the differences between radiologically measured size and pathologic size of renal tumors. MATERIALS ANDMETHODS:
The data from 171 patients who underwent radical or partial nephrectomy for a renal tumor at Ajou University Hospital were reviewed. Radiologic tumor size, which was defined as the largest diameter on a computed tomographic scan, was compared with pathologic tumor size, which was defined as the largest diameter on gross pathologic examination.RESULTS:
Mean radiologic size was significantly larger than mean pathologic size for all tumors (p=0.019). When stratified according to radiologic size range, mean radiologic size was significantly larger than mean pathologic size for tumors 7 cm. When classified according to histologic subtype, mean radiologic size was significantly larger than mean pathologic size only in clear cell renal cell carcinomas (p=0.002). When classified according to tumor location, mean radiologic size was significantly larger than mean pathologic size in endophytic tumors (p=0.043) but not in exophytic tumors. When endophytic tumors were stratified according to radiologic size range, there was a significant difference between the mean radiologic and pathologic sizes for tumors 7 cm (p=0.603).CONCLUSIONS:
Our results suggest that in planning a nephron-sparing surgery for renal tumors, especially for endophytic tumors of less than 4 cm, the tumor size measured on a computed tomography scan should be readjusted to get a more precise estimate of the tumor size.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Néphrocarcinome
/
Rein
/
Néphrectomie
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Urology
Année:
2013
Type:
Article
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