Korean J Urol.
1988 Oct;29(5):713-719.
Clinical Evaluation of Renal Mass: 33 Cases
- Affiliations
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- 1Department of Urology, College of Medicine, Chung-Ang University, Seoul, Korea.
Abstract
- The diagnostic work-up of renal mass should be carried out in an accurate, rapid, noninvasive and cost effective way. We retrospectively analyzed the diagnostic accuracy of ultrasonography, computerized tomography and renal angiography in 33 patients with renal mass from July 1984 to June 1987. The results were as follows : 1. The sex distribution of renal masses were 22 cases in male and 11 cases in female, and mean age of male patients were 43.8 years and female were 44.3 years. 2. The most common presenting symptom was flank pain in 28 cases(82.4%) and 17 cases (50.0%) presented with painless gross hematuria and one patient had no symptom. 3. Diagnostic accuracy of ultrasonography, computerized tomography and renal angiography of 27 cases of renal mass, were 70.6%, 83,3% and 63.3%, respectively. 4. Among 33 cases of renal mass, operation was done in 27 cases and 7 cases were misdiagnosed. 5. Therefore, we think that current uroradiologic studies are not sufficiently accurate in the diagnosis of renal mass and that exploration should be done whenever the diagnosis of renal mass is equivocal by radiologic study.
