Renal oncocytoma other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]

Overview

Renal angiography may be helpful in the diagnosis of renal oncocytoma. The “spoke-wheeled” appearance, lucent rim sign, homogeneous capillary flush in the nephrogram phase, lack of wild neoplastic vessels,and both hypovascular or hypervascular may seen on angiography of patients with renal oncocytoma. Although, none of them are specific for renal oncocytoma and they also may seen in RCCs.

Other Imaging Findings

Renal angiography

Renal angiography may be helpful in the diagnosis of renal oncocytoma.

Findings on an angiography which are suggestive of renal oncocytoma include:[1][2][3][4][5][6]

  • The “spoke-wheeled” appearance which is developed from the radiation of feeding arteries toward the lesion's center
  • Lucent rim sign
  • Homogeneous capillary flush in the nephrogram phase
  • The lack of wild neoplastic vessels
  • Both hypovascular or hypervascular may be seen on angiography

Note: None of these characteristics are specific for renal oncocytoma and they also may seen in RCCs.

References

  1. Maatman, Thomas J.; Novick, Andrew C.; Tancinco, Benjamin F.; Vesoulis, Zissis; Levin, Howard S.; Montie, James E.; Montague, Drogo K. (1984). "Renal Oncocytoma: A Diagnostic and Therapeutic Dilemma". Journal of Urology. 132 (5): 878–881. doi:10.1016/S0022-5347(17)49932-0. ISSN 0022-5347.
  2. Quinn, M J; Hartman, D S; Friedman, A C; Sherman, J L; Lautin, E M; Pyatt, R S; Ho, C K; Csere, R; Fromowitz, F B (1984). "Renal oncocytoma: new observations". Radiology. 153 (1): 49–53. doi:10.1148/radiology.153.1.6473802. ISSN 0033-8419.
  3. M. R. Licht, A. C. Novick, R. R. Tubbs, E. A. Klein, H. S. Levin & S. B. Streem (1993). "Renal oncocytoma: clinical and biological correlates". The Journal of urology. 150 (5 Pt 1): 1380–1383. PMID 8411404. Unknown parameter |month= ignored (help)
  4. T. Tikkakoski, M. Paivansalo, A. Alanen, M. Nurmi, M. Taavitsainen, P. Farin & M. Apaja-Sarkkinen (1991). "Radiologic findings in renal oncocytoma". Acta radiologica (Stockholm, Sweden : 1987). 32 (5): 363–367. PMID 1910988. Unknown parameter |month= ignored (help)
  5. Neisius, D.; Braedel, H. U.; Schindler, E.; Hoene, E.; Alloussi, Sch. (1988). "Computed tomographic and angiographic findings in renal oncocytoma". The British Journal of Radiology. 61 (731): 1019–1025. doi:10.1259/0007-1285-61-731-1019. ISSN 0007-1285.
  6. Stephen M. Schatz & Michael M. Lieber (2003). "Update on oncocytoma". Current urology reports. 4 (1): 30–35. PMID 12537936. Unknown parameter |month= ignored (help)

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