Imaging of Solid Renal Masses

Urol Clin North Am. 2018 Aug;45(3):311-330. doi: 10.1016/j.ucl.2018.03.013. Epub 2018 Jun 15.

Abstract

The increase in serendipitous detection of solid renal masses on imaging has not resulted in a reduction in mortality from renal cell carcinoma. Consequently, efforts for improved lesion characterization have been pursued and incorporated into management algorithms for distinguishing clinically significant tumors from those with favorable histology or benign conditions. Although diagnostic imaging strategies have evolved for optimized lesion detection, distinction between benign tumors and both indolent and aggressive malignant neoplasms remain an important diagnostic challenge. Recent advances in cross-sectional imaging have expanded the role of these tests in the noninvasive characterization of solid renal tumors.

Keywords: Angiomyolipoma; Image-guided biopsy; Lymphoma; MR imaging; Renal cell carcinoma; Renal oncocytoma; Ultrasonography; X-ray computed tomography.

Publication types

  • Review

MeSH terms

  • Humans
  • Image-Guided Biopsy
  • Kidney Neoplasms / diagnostic imaging*
  • Kidney Neoplasms / pathology
  • Magnetic Resonance Imaging
  • Tomography, X-Ray Computed