COMPARATIVE STUDY OF RENAL MASSES BY ULTRASONOGRAPHY AND COMPUTED TOMOGRAPHY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 1
Abstract
BACKGROUND The term renal mass includes a large number of expansile entities, which are aggregates of non-functional renal parenchyma. Renal masses can be neoplastic, non-neoplastic or normal variants [pseudotumours]. The aim of this study is to study and evaluate the nature of renal masses by ultrasound and computed tomography. MATERIALS AND METHODS This retrospective descriptive study was carried out in the Department of Radiology, Patna Medical College and Hospital, during October 2015 - October 2016 in one year duration. Fifty patients irrespective of age and sex, suspicious of malignant renal masses were included in this study. Ultrasound was done by Toshiba Nemio XG USG machine with different types of probes- curvilinear with 3.5 - 5 MHz and linear probe with 7 - 10 MHz frequency and also by Colour Doppler study whenever needed. Toshiba 128- slice Computed Tomography Scan was used for scanning of all patients, plain and contrast both studies were performed and collected data was analysed. RESULTS Fifty cases of renal masses comprising of polycystic kidney disease, [1] parapelvic cyst,[2] renal cell carcinoma,[3] Wilms’ tumour [4] and squamous cell carcinoma[5] were clinically studied and evaluated radiologically by ultrasonography and CT. Ultrasound remains the modality of choice for initial screening in cases of adult polycystic kidney disease. CONCLUSION It can be concluded from our study that ultrasound and contrast CT scan is an investigation of choice for pre-operative staging of malignant renal masses due to its ability in demonstrating perinephric extension, invasion of renal fascia, evaluation of retroperitoneum and detection of distant metastases.
Authors and Affiliations
Kumar Vinod, Singh N. G
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