Renal oncocytoma other diagnostic studies: Difference between revisions

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==Overview==
==Overview==
There are no other diagnostic study findings associated with renal oncocytoma.
[[Renal]] [[mass]] [[biopsy]] may be helpful in the diagnosis of renal oncocytoma. However, distinguishing between oncocytoma and [[Renal cell carcinoma|RCC]] by biopsy is difficult. Since this method only reserved for [[patients]] who are at high risk for an operation like very [[elderly]] or extremely [[sick]] [[patients]].  Some [[complications]] may happen during [[renal]] [[mass]] [[biopsy]] which are perirenal [[hemorrhage]], [[pneumothorax]] ( during biopsy of upper pole tumors) and [[tumor]] seeding.


==Other Diagnostic Studies==
==Other Diagnostic Studies==
There are no other diagnostic study findings associated with renal oncocytoma.


==Overview==
'''Biopsy:'''
There are no other diagnostic studies associated with [disease name].


OR
[[Renal]] [[mass]] [[biopsy]] may be helpful in the diagnosis of renal oncocytoma. However, distinguishing between oncocytoma and [[Renal cell carcinoma|RCC]] by biopsy is difficult. Since this method only reserved for [[patients]] who are at high risk for an operation like very [[elderly]] or extremely [[sick]] [[patients]]. <ref name="HaiflerCopel2012">{{cite journal|last1=Haifler|first1=Miki|last2=Copel|first2=Laurian|last3=Sandbank|first3=Judith|last4=Lang|first4=Erez|last5=Raz|first5=Orit|last6=Leibovici|first6=Dan|last7=Lindner|first7=Arie|last8=Zisman|first8=Amnon|title=Renal oncocytoma—are there sufficient grounds to consider surveillance following prenephrectomy histologic diagnosis|journal=Urologic Oncology: Seminars and Original Investigations|volume=30|issue=4|year=2012|pages=362–368|issn=10781439|doi=10.1016/j.urolonc.2009.11.024}}</ref><ref>{{Cite journal
| author = [[Stephen M. Schatz]] & [[Michael M. Lieber]]
| title = Update on oncocytoma
| journal = [[Current urology reports]]
| volume = 4
| issue = 1
| pages = 30–35
| year = 2003
| month = February
| pmid = 12537936
}}</ref>


[Diagnostic study] may be helpful in the diagnosis of [disease name]. Findings suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
[[Complications]] of [[renal]] [[mass]] [[biopsy]] include:<ref name="LaneSamplaski2008">{{cite journal|last1=Lane|first1=Brian R.|last2=Samplaski|first2=Mary K.|last3=Herts|first3=Brian R.|last4=Zhou|first4=Ming|last5=Novick|first5=Andrew C.|last6=Campbell|first6=Steven C.|title=Renal Mass Biopsy—A Renaissance?|journal=Journal of Urology|volume=179|issue=1|year=2008|pages=20–27|issn=0022-5347|doi=10.1016/j.juro.2007.08.124}}</ref><ref name="HaraMiyake2001">{{cite journal|last1=Hara|first1=Isao|last2=Miyake|first2=Hideaki|last3=Hara|first3=Shoji|last4=Arakawa|first4=Soichi|last5=Hanioka|first5=Keisuke|last6=Kamidono|first6=Sadao|title=Role of Percutaneous Image-Guided Biopsy in the Evaluation of Renal Masses|journal=Urologia Internationalis|volume=67|issue=3|year=2001|pages=199–202|issn=0042-1138|doi=10.1159/000050987}}</ref><ref>{{Cite journal
| author = [[P. W. Ralls]], [[J. A. Barakos]], [[E. M. Kaptein]], [[P. E. Friedman]], [[G. Fouladian]], [[W. D. Boswell]], [[J. Halls]] & [[S. G. Massry]]
| title = Renal biopsy-related hemorrhage: frequency and comparison of CT and sonography
| Journal = [[Journal of computer assisted tomography]]
| volume = 11
| issue = 6
| pages = 1031–1034
| year = 1987
| month = November-December
| pmid = 3316324
}}</ref><ref name="HopperYakes1990">{{cite journal|last1=Hopper|first1=K D|last2=Yakes|first2=W F|title=The posterior intercostal approach for percutaneous renal procedures: risk of puncturing the lung, spleen, and liver as determined by CT.|journal=American Journal of Roentgenology|volume=154|issue=1|year=1990|pages=115–117|issn=0361-803X|doi=10.2214/ajr.154.1.2104692}}</ref><ref name="SilvermanGan2006">{{cite journal|last1=Silverman|first1=Stuart G.|last2=Gan|first2=Yu Unn|last3=Mortele|first3=Koenraad J.|last4=Tuncali|first4=Kemal|last5=Cibas|first5=Edmund S.|title=Renal Masses in the Adult Patient: The Role of Percutaneous Biopsy|journal=Radiology|volume=240|issue=1|year=2006|pages=6–22|issn=0033-8419|doi=10.1148/radiol.2401050061}}</ref>


OR
* Perirenal [[hemorrhage]]
 
* [[Pneumothorax]] ( during biopsy of upper pole tumors)
Other diagnostic studies for [disease name] include [diagnostic study 1], which demonstrates [finding 1], [finding 2], and [finding 3], and [diagnostic study 2], which demonstrates [finding 1], [finding 2], and [finding 3].
* [[Tumor]] seeding
 
==Other Diagnostic Studies==
 
There are no other diagnostic studies associated with [disease name].
 
OR
 
[Diagnostic study] may be helpful in the diagnosis of [disease name]. Findings suggestive of/diagnostic of [disease name] include:
*[Finding 1]
*[Finding 2]
*[Finding 3]
 
OR
 
Other diagnostic studies for [disease name] include:
*[Diagnostic study 1], which demonstrates:
**[Finding 1]
**[Finding 2]
**[Finding 3]
*[Diagnostic study 2], which demonstrates:
**[Finding 1]
**[Finding 2]
**[Finding 3]
 
Equivocal results from multiple studies investigating
the use of percutaneous renal biopsy have resulted in its
limited role in the diagnosis of solid renal masses. A recent
small retrospective series from MD Anderson Cancer
Center examined fine needle aspiration cytology of eosinophilic
renal neoplasms with special stains (eg, cytokeratin,
vimentin, and Hale’s colloidal iron) and electron microscopy
(in selected cases), demonstrating some success in
predicting final pathology [18]. However, the value of
this study was limited because of its retrospective nature
and the lack of surgical specimens to provide “gold
standard” data from a significant number of patients felt to
have oncocytoma.
Frozen-section needle biopsy performed at time of
renal exploration failed to yield reliable diagnoses in a
recent prospective study from our institution [41]. One
hundred three patients underwent radical or partial
nephrectomy for their renal tumors. After resection,
a “back table” biopsy was obtained from each tumor
using an 18-gauge biopsy gun and sent for frozen section.
Two urologic pathologists independently reviewed the
specimens, and the results were compared with those from
whole-mount permanent sections. Overall accuracy of the
two pathologists was 76% and 80%, respectively, with
nondiagnostic rates of 11% and 17%. Both pathologists
diagnosed 5% of the malignant lesions as benign, and 21%
and 36% of benign lesions as malignant. The quality of the
biopsies themselves was clearly ideal and not subject to the
vagaries inherent in percutaneous biopsies.
Needle biopsy of the tumor can be a useful strategy
to diagnose oncocytoma in the very elderly or very sick
patient with a renal tumor. There have been cases
reported in which patients with large bilateral and
unresectable renal oncocytomas have been observed
for many years without showing distinct tumoral progression.
Such observational treatment may be entirely appropriate for patients at poor operative risk because of
extensive comorbidities
==References==
==References==
{{reflist|2}}
{{reflist|2}}
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[[Category:Oncology]]
[[Category:Oncology]]
[[Category:Nephrology]]
[[Category:Nephrology]]
[[Category: Primary care]]

Latest revision as of 23:57, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Homa Najafi, M.D.[2]

Overview

Renal mass biopsy may be helpful in the diagnosis of renal oncocytoma. However, distinguishing between oncocytoma and RCC by biopsy is difficult. Since this method only reserved for patients who are at high risk for an operation like very elderly or extremely sick patients. Some complications may happen during renal mass biopsy which are perirenal hemorrhage, pneumothorax ( during biopsy of upper pole tumors) and tumor seeding.

Other Diagnostic Studies

Biopsy:

Renal mass biopsy may be helpful in the diagnosis of renal oncocytoma. However, distinguishing between oncocytoma and RCC by biopsy is difficult. Since this method only reserved for patients who are at high risk for an operation like very elderly or extremely sick patients. [1][2]

Complications of renal mass biopsy include:[3][4][5][6][7]

References

  1. Haifler, Miki; Copel, Laurian; Sandbank, Judith; Lang, Erez; Raz, Orit; Leibovici, Dan; Lindner, Arie; Zisman, Amnon (2012). "Renal oncocytoma—are there sufficient grounds to consider surveillance following prenephrectomy histologic diagnosis". Urologic Oncology: Seminars and Original Investigations. 30 (4): 362–368. doi:10.1016/j.urolonc.2009.11.024. ISSN 1078-1439.
  2. Stephen M. Schatz & Michael M. Lieber (2003). "Update on oncocytoma". Current urology reports. 4 (1): 30–35. PMID 12537936. Unknown parameter |month= ignored (help)
  3. Lane, Brian R.; Samplaski, Mary K.; Herts, Brian R.; Zhou, Ming; Novick, Andrew C.; Campbell, Steven C. (2008). "Renal Mass Biopsy—A Renaissance?". Journal of Urology. 179 (1): 20–27. doi:10.1016/j.juro.2007.08.124. ISSN 0022-5347.
  4. Hara, Isao; Miyake, Hideaki; Hara, Shoji; Arakawa, Soichi; Hanioka, Keisuke; Kamidono, Sadao (2001). "Role of Percutaneous Image-Guided Biopsy in the Evaluation of Renal Masses". Urologia Internationalis. 67 (3): 199–202. doi:10.1159/000050987. ISSN 0042-1138.
  5. P. W. Ralls, J. A. Barakos, E. M. Kaptein, P. E. Friedman, G. Fouladian, W. D. Boswell, J. Halls & S. G. Massry (1987). "Renal biopsy-related hemorrhage: frequency and comparison of CT and sonography". 11 (6): 1031–1034. PMID 3316324. Unknown parameter |Journal= ignored (|journal= suggested) (help); Unknown parameter |month= ignored (help)
  6. Hopper, K D; Yakes, W F (1990). "The posterior intercostal approach for percutaneous renal procedures: risk of puncturing the lung, spleen, and liver as determined by CT". American Journal of Roentgenology. 154 (1): 115–117. doi:10.2214/ajr.154.1.2104692. ISSN 0361-803X.
  7. Silverman, Stuart G.; Gan, Yu Unn; Mortele, Koenraad J.; Tuncali, Kemal; Cibas, Edmund S. (2006). "Renal Masses in the Adult Patient: The Role of Percutaneous Biopsy". Radiology. 240 (1): 6–22. doi:10.1148/radiol.2401050061. ISSN 0033-8419.

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