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- W123044372 abstract "Nowadays the number of asymptomatic, incidental tumors being detected increased as a result of the widespread use of noninvasive abdominal imaging modalities, including ultrasound and computed tomography (CT) and magnetic resonance imaging. The aim of the study is to analyze the atypical, complex morphologic changes and anatomical variants of structure, with tumor-like appearance. This is important especially in screening revealing tumors in asymptomatic patients or in patients with atypical symptoms. Material comprises a group of 186 patients in which the US examination was performed between 1996 and 2002, in 2nd Department of Radiology, Medical University of Lublin. In 20 patients the local thickening of cortex was found, protruding from the surface of the kidney, so-called renal constituting the anatomical variation. In eight cases the cortex thickening suggesting the presence of the gibbus, proved to be tumors. Diagnosing of small asymptomatic tumors, less than 3 cm in diameter, was difficult. They have appearance of protruding cortex thickening distorting the outlines. The assessment of outlines was an important morphologic factor. Small tumors showed anatomical anomalies. Regular tumor shape was rarely seen in larger tumors. The normal shape was more often seen in small tumors, while the large mass produces irregular distortion of outline. In four cases the oblique section of the pyramid has within the central part of kidney the appearance of oval pseudo-tumor. The differentiating of oval cortex thickenings protruding from the lateral margin--presenting renal gibbuses--and small tumors is difficult and requires supplementary helical CT examination with spatial reconstructions. Dynamic CT with early bolus of contrast agent and late sections is indicated. The lesion sizes, regularity of its margins, distortion of shape, echogenicity similar with the normal cortex were important in US examination. MR enhanced with DTPA and CT guided biopsy enables definite diagnosis." @default.
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- W123044372 date "2004-01-01" @default.
- W123044372 modified "2023-10-11" @default.
- W123044372 title "Differential diagnosis of asymmetrical renal cortex thickening and solid renal tumours." @default.
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