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- W2166953304 abstract "The radiologic diagnosis of renal cell carcinoma continues to be challenging. The small subgroup of atypical tumors described here exemplifies this challenge. Important summarizing points are as follows: 1. High dose excretory urography with nephrotomography is the screening procedure of choice for renal cell carcinoma. A small percentage of tumors will escape detection by this method, however. When the clinical suspicion of a malignant neoplasm of the kidney is high and the urogram is negative, more sensitive screening with computed tomography is indicated. 2. Renal cell carcinoma does occur rarely in the pediatric population, having a peak incidence at 9 years of age. The gross morphology and resultant appearance of this neoplasm in imaging studies are unfortunately indistinguishable from those of Wilms' tumor. Factors that favor the diagnosis of renal cell carcinoma are older age at presentation, hematuria, renal calcification without obvious mass, and bone metastases. 3. Spontaneous renal or perirenal hemorrhage is most frequently the result of over-anticoagulation, but on occasion may be secondary to an underlying structural abnormality of the kidney such as renal cell carcinoma. Computed tomography can usually demonstrate the associated tumor mass except when it is small (less than 2 cm). Dynamic scanning is particularly useful in documenting contrast enhancement which occurs in solid tumors but does not occur in an intrarenal hematoma. 4. Hemorrhagic renal cell carcinoma may have a computed tomographic appearance similar to benign" @default.
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- W2166953304 date "1985-03-01" @default.
- W2166953304 modified "2023-09-26" @default.
- W2166953304 title "The clandestine renal cell carcinoma: Atypical appearances and presentations" @default.
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- W2166953304 doi "https://doi.org/10.1148/radiographics.5.2.175" @default.
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