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Multimodality imaging evaluation of pseudotumors in chronic renal dysfunction: exposing the masquerade!
Ankur Goyal1, Malvika Gulati1, Raju Sharma1
1Department of Radiodiagnosis and Interventional Radiology, 28730All India Institute of Medical Sciences, New Delhi, India.
Acta Radiologica (Stockholm, Sweden : 1987)
|December 16, 2021
Summary
Focal renal lesions in chronic kidney disease (CKD) can mimic tumors. This study details imaging features of CKD pseudotumors to help differentiate them from malignancy, avoiding unnecessary surgery.
Area of Science:
- Nephrology
- Radiology
- Oncology
Background:
- Focal renal lesions in chronic kidney disease (CKD) pose diagnostic challenges.
- Contrast-enhanced imaging is often limited in CKD patients.
- Focal regenerating nodules can mimic renal neoplasms in CKD.
Purpose of the Study:
- To highlight imaging manifestations of CKD pseudotumors.
- To differentiate these pseudotumors from renal malignancy.
- To guide radiologists in diagnosing these entities.
Main Methods:
- Review of imaging modalities (CT, MRI) for CKD pseudotumors.
- Analysis of differentiating features between pseudotumors and neoplasms.
- Radiological assessment of focal renal lesions in CKD patients.
Main Results:
- CKD pseudotumors present specific imaging characteristics.
- Key features help distinguish regenerating nodules from malignant lesions.
- Awareness of these features aids in accurate diagnosis.
Conclusions:
- Focal regenerating nodules in CKD can be mistaken for renal tumors.
- Understanding imaging appearances is crucial for correct diagnosis.
- This knowledge can prevent misdiagnosis, unnecessary surgery, and patient anxiety.
Keywords:
Chronic kidney diseasecontrast-enhanced ultrasonographydiffusion-weighted imagingmagnetic resonance imagingpseudotumorrenal cell carcinomaMore Related Videos
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