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[Intraoperative sonography to localize a kidney tumor]
Rontgen-Blatter; Zeitschrift Fur Rontgen-Technik Und Medizinisch-Wissenschaftliche Photographie
|June 1, 1986
Summary
A man with microhematuria was diagnosed with a right renal tumor. Intraoperative sonography identified the mass, leading to a successful nephrectomy for kidney adenocarcinoma.
Area of Science:
- Urology
- Medical Imaging
- Oncology
Background:
- A 61-year-old male presented with microhematuria, prompting a comprehensive preoperative diagnostic evaluation.
- Initial work-up included urography, percutaneous sonography, computed tomography (CT), and retrograde pyelogram, all suggesting a right renal tumor.
Observation:
- Despite preoperative imaging, the suspected renal tumor was not palpable or visible during intraoperative exploration.
- Intraoperative sonography proved crucial in precisely locating the intrarenal mass.
Findings:
- A subsequent nephrectomy confirmed the presence of an intrarenal adenocarcinoma of the kidney.
- The excised tumor measured 2.5 cm in diameter.
Implications:
- This case highlights the diagnostic utility of intraoperative sonography in identifying renal masses not detected by palpation.
- It underscores the importance of advanced imaging in confirming renal cell carcinoma, even when macroscopic findings are initially elusive.