Role of ultrasonography, computed tomography estimating abdominal invasion and metastasis in renal cell carcinoma

Dr Ho Nguyen Phuong Anh1, Dr Hoang Minh Loi2
1 Department of Functional Exploration - Hue central hospital
2 Hue University of Medicine and Pharmacy

Main Article Content

Abstract

Describe the ultrasonography and computed tomography features of renal cell carcinoma (RCC) and investigate
the role of ultrasonography, computed tomography in estimating RCC invasion and metastasis in abdomen
Research design: Including 32 RCC diagnosed patients who underwent surgical treatment at Hue Central Hospital and Hue
University of Medicine and Pharmacy from April 2013 to August 2014.
Results: The ultrasonographic features: The average size of tumor was 6.2 ± 2.4 cm; One case wasn’t found by ultrasound.
The computed tomographic features: the size of tumors within 7 to 10cm occupied the highest rate at 43.8 percent (43.8%).
Postoperatively, according to the pathological results, the tumor in T1 stage occupied the highest rate at 37.5 percent (37.5%).
Compared the result of ultrasonography and computed tomography in finding calcification, vein thrombosis, located invasion and abdominal metastasis had p < 0.05 meant significant statistic.
Conclusion: Ultrasonograph is a useful method to detect early tumor. Besides, computed tomography, especially spiral computed tomography with the multi planar reconstruction ability, indicated many advantages in estimation located invasion and vicinage organs metastasis in abdomen. That is also the most important criterion to classify the stage of kidney cancer in order to determine the best treatment plan for patients.

Article Details

References

1. Nguyễn Minh Đức (2011), Khảo sát đặc điểm cắt lớp điện toán carcinome tế bào thận, Luận văn Thạc sĩ Y học, Trường Đại học Y-Dược TP Hồ Chí Minh.
2. Nguyễn Phước Bảo Quân (2010), “ Siêu âm hệ tiết niệu”, Siêu âm bụng tổng quát, Nhà xuất bản Thuận Hóa, Huế, tr. 521-565.
3. Nguyễn Thế Trường (2005), Nghiên cứu chẩn đoán và kết quả điều trị phẫu thuật ung thư tế bào thận ở người lớn, Luận án Tiến sĩ Y học, Đại học Y Hà Nội.
4. Albala D.M, Morey A.F, Gomella L.G, Stein J.P (2011), “Renal cell carcinoma”. Oxford American handbook of urology, Wordwide best-seller, pp. 278- 293.
5. Ali Tabibi, Mahmoud Parvin et al (2007),“Correlation between size of renal cell carcinoma and its grade, stage and histological subtype”, Urology
journal, 4(1), pp. 10-13.
6. Chaan S. Ng et al (2008), ”Renal cell carcinoma: Diagnosis, staging and surveillance”, American Journal of Roentgenology, 191, pp. 1220-1232.
7. Hatcher PA, Paulson DF, Anderson EE (1992), “Accuracy in staging of renal cell carcinoma involving vene cava”, Urology, XXXIX (1), pp. 27-30.
8. N.Reed Dunnick, Ronald W. McCallum et al (2005), “Renal Tumors”, Textbook of Uroradiology, Library-Loyola University Medical Center, pp. 113-124.