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[Incidental renal cell carcinoma].

T Uchida¹, T Shitara, K Takekawa

¹Department of Urology, Kitasato University School of Medicine.

Hinyokika Kiyo. Acta Urologica Japonica

|September 1, 1991

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Incidental renal cell carcinoma is often found without symptoms. Ultrasonography is a valuable screening tool for early detection during routine health check-ups.

Area of Science:

Urology
Oncology
Diagnostic Imaging

Background:

Incidental renal cell carcinoma (RCC) diagnosis is increasing.
Early detection of RCC improves patient outcomes.
Screening methods for asymptomatic RCC require evaluation.

Purpose of the Study:

To analyze the characteristics of incidentally detected renal cell carcinoma.
To evaluate the effectiveness of diagnostic modalities in identifying incidental RCC.
To assess the role of ultrasonography in early RCC detection.

Main Methods:

Retrospective review of 170 RCC cases treated between 1971 and 1989.
Analysis of patient demographics, detection methods, and diagnostic findings.
Evaluation of ultrasonography, computed tomography (CT), and excretory pyelography.

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Main Results:

24.1% (41/170) of RCC cases were detected incidentally.
Ultrasonography was the primary detection method, especially in recent years.
Microhematuria was absent in 83.7% of cases; excretory pyelography missed tumors in 3 cases.

Conclusions:

Incidental RCC is frequently diagnosed without classic signs.
Ultrasonography shows promise as a screening tool for early RCC detection.
Routine health check-ups incorporating ultrasonography may enhance early RCC identification.