Document Detail


Can duplex Doppler ultrasound replace computerized tomography in staging patients with renal cell carcinoma?
MedLine Citation:
PMID:  9606776     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to evaluate the accuracy and reliability of duplex Doppler ultrasound (US) and computerized tomography (CT) in staging patients with renal cell carcinoma (RCC). Sixty-six patients were evaluated pre-operatively with duplex Doppler ultrasound and CT. The results were compared with the surgical and histopathological findings. T stage was determined correctly with duplex Doppler US and CT in 56 and 50 cases respectively. In 4 patients with nodal disease duplex Doppler US was correct in 2 patients, 1 was false positive. With CT, 3 patients were staged correctly and 3 were false positive. Of the 14 patients with vascular tumour thrombi, 13 were staged correctly with duplex Doppler US and 12 with CT scan. False positive vascular tumour invasion was seen only with CT in 4 cases. Based on these results we conclude that duplex Doppler US is at least as accurate as CT scanning in the staging of RCC. Also in patients with renal or caval thrombi, duplex Doppler US is highly accurate in establishing the diagnosis and in the determination of the extent of the thrombus.
Authors:
S D Bos; H J Mensink
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Scandinavian journal of urology and nephrology     Volume:  32     ISSN:  0036-5599     ISO Abbreviation:  Scand. J. Urol. Nephrol.     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-07-16     Completed Date:  1998-07-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0114501     Medline TA:  Scand J Urol Nephrol     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  87-91     Citation Subset:  IM    
Affiliation:
Department of Urology, Medical Centre Alkmaar, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Carcinoma, Renal Cell / pathology*,  radiography,  ultrasonography
Female
Humans
Kidney Neoplasms / pathology*,  radiography,  ultrasonography
Lymphatic Metastasis / radiography,  ultrasonography
Male
Middle Aged
Neoplasm Staging / methods*
Reproducibility of Results
Thrombosis / radiography,  ultrasonography
Tomography, X-Ray Computed*
Ultrasonography, Doppler, Duplex*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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