Document Detail

Is there a need for pelvic CT scan in cases of renal cell carcinoma?
MedLine Citation:
PMID:  12090319     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine the necessity of pelvic computed tomography (CT) in patients of renal cell carcinoma (RCC). MATERIALS AND METHODS: We reviewed the records of 400 patients of RCC, who underwent treatment at our institution between January 1988 and February 2001. These patients were evaluated pre-operatively with ultrasonograms (USG) and contrast enhanced CT scan of the abdomen and pelvis. USG or CT scans of these cases were reviewed for presence of pathology in the pelvis, which were classified into 3 categories viz; benign and likely to be insignificant, benign and likely to be significant; and malignant. RESULTS: Of the 400 cases, 114 were stage I, 68 were stage II, 99 were stage III and 119 were stage IV. In all patients, tumour was identified in the kidney on preoperative CT scan. Fourteen patients (3.5%) had an abnormality on pelvic CT. Five (1.25%) had category 1, three (0.75%) had category 2 and six (1.5%) had category 3 abnormality on pelvic CT. However, all these abnormalities in pelvis were detected prior to CT by other investigations (USG or plain x-ray). Of the six cases with malignant findings, two had superficial bladder cancer, one had RCC in a pelvic kidney and three had bone metastases in the pelvis. CONCLUSIONS: Pelvic CT does not offer additional information in the vast majority of cases with RCC and should be performed selectively. Thus the cost of diagnostic imaging in RCC can be reduced.
Anurag Khaitan; Narmada P Gupta; Ashok K Hemal; P N Dogra; Amlesh Seth; Monish Aron
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  International urology and nephrology     Volume:  33     ISSN:  0301-1623     ISO Abbreviation:  Int Urol Nephrol     Publication Date:  2002  
Date Detail:
Created Date:  2002-07-01     Completed Date:  2003-01-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0262521     Medline TA:  Int Urol Nephrol     Country:  Hungary    
Other Details:
Languages:  eng     Pagination:  13-5     Citation Subset:  IM    
Department of Urology, All India Institute of Medical Sciences, New Delhi.
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MeSH Terms
Biopsy, Needle
Carcinoma, Renal Cell / pathology,  radiography*,  surgery*
Follow-Up Studies
Kidney Neoplasms / pathology,  radiography*,  surgery*
Middle Aged
Needs Assessment
Neoplasm Staging
Pelvis / radiography
Preoperative Care / methods
Retrospective Studies
Tomography, X-Ray Computed / utilization*
Unnecessary Procedures*

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

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