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Titolo:
Color duplex sonography vs. computed tomography: Accuracy in the preoperative evaluation of renal cell carcinoma
Autore:
Spahn, M; Portillo, FJM; Michel, MS; Siegsmund, M; Gaa, J; Alken, P; Junemann, KP;
Indirizzi:
Univ Heidelberg, Klinikum Mannheim GmbH, Dept Urol, D-68135 Mannheim, Germany Univ Heidelberg Mannheim Germany D-68135 Urol, D-68135 Mannheim, Germany Univ Heidelberg, Klinikum Mannheim GmbH, Dept Radiol, D-68135 Mannheim, Germany Univ Heidelberg Mannheim Germany D-68135 diol, D-68135 Mannheim, Germany
Titolo Testata:
EUROPEAN UROLOGY
fascicolo: 3, volume: 40, anno: 2001,
pagine: 337 - 342
SICI:
0302-2838(200109)40:3<337:CDSVCT>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
INFERIOR VENA-CAVA; SURGICAL-MANAGEMENT; EXTENSION; DIAGNOSIS; CT; ADENOCARCINOMA; MASSES; CANCER; TUMORS;
Keywords:
renal cell carcinoma; duplex sonography; computer tomography; tumor thrombosis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Portillo, FJM Univ Heidelberg, Klinikum Mannheim GmbH, Dept Urol, D-68135 Mannheim, Germany Univ Heidelberg Mannheim Germany D-68135 Mannheim, Germany
Citazione:
M. Spahn et al., "Color duplex sonography vs. computed tomography: Accuracy in the preoperative evaluation of renal cell carcinoma", EUR UROL, 40(3), 2001, pp. 337-342

Abstract

Purpose: Accurate imaging is essential for correct operative planning and successful surgical intervention in renal cell carcinoma (RCC). Our objective was the comparison of color duplex sonography with spiral computed tomography (CT) and surgical-pathological findings in the evaluation of renal masses to determine tumor localization, size, tumor thrombus extent and lymphnode metastases. Methods:We evaluated 60 patients with a renal mass in a prospective study. Both color duplex sonography and CT were performed by different investigators without knowledge of the supposed diagnosis. The color Doppler findingswere compared to CT and surgical pathological findings. Results:The sensitivity of color duplex sonography in the detection of RCCand lymph node metastases is comparable to that of CT (100%). Color duplexsonography was superior in the detection of renal vein involvement. Color duplex sonography alone allowed correct planning of the surgical procedure without intraoperative changes in all patients. Conclusion: Duplex sonography provides exactly the same information as CT Although duplex sonography is less expensive with lower exposure to radiation, most surgeons will still probably demand CT for diagnosis, especially as this method is unerring and duplex sonography highly depends on the expertise of the person using it. Copyright (C) 2001 S. Karger AG, Basel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 03:01:41