Korean J Urol.
1989 Dec;30(6):839-842.
The Value of CT in Staging of Renal Cell Carcinoma
- Affiliations
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- 1Department of Urology, Catholic University, Medical College, Seoul, Korea.
Abstract
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Accurate preoperative CT staging of renal cell carcinoma affects the therapeutic approach and aids the urologist in planning the appropriate surgical treatment. Computed tomography has a unique advantage that it can distinguish between tumors confined to Gerota's fascia and those which show contiguous spread, invading adjacent structures such as muscles, liver and the periaortic and pericaval regions. CT scan also detects regional lymph node metastases and tumor extension into the renal vein and inferior venacava. CT scans were assessed for ability to detect abdominal extent of tumor in 37 patient with renal cell carcinoma. The overall accuracy of CT staging was 78%.