IMAGING A BOON IN RENAL MASSES A SURGICAL PERSPECTIVE AT A TERTIARY CARE CENTER

Dr. Elroy Saldanha; Dr. Reshmina C.C. D Souza; Dr. Mohanchandra Suvarna; Dr. Tessa N Kaneria; Dr. Rithesh Joseph D’Cunha

Volume : V, Issue : X, October - 2015

IMAGING A BOON IN RENAL MASSES A SURGICAL PERSPECTIVE AT A TERTIARY CARE CENTER

Dr. Elroy Saldanha, Dr. Reshmina C. C. D Souza, Dr. Mohanchandra Suvarna, Dr. Tessa N Kaneria, Dr. Rithesh Joseph D Cunha

Abstract :

 In today’s world, where minimally invasive and best treatment is the preferred choice imaging like Multidetector computed tomography can help the urologist as to whether a renal mass needs to be operated or not. So we intended to evaluate the diagnostic accuracy of Multi– Detector Computed Tomography in staging of renal malignancy in comparison with surgical staging. METHODS: The data for study was collected from patients with clinically suspected renal mass and in patients with incidentally detected renal mass referred for imaging. A total of 65 patients were analyzed prospectively for a period of from august 2012 to June 2015 with Multi–Detector Computed Tomography imaging (MDCT). The diagnosis and findings were compared with intra–operative and/or histopathology findings. Descriptive statistical analysis was carried out in the study. Chi square test /Fisher Exact test were used to check the significance of association RESULTS: In our study of total of 65 cases, consisting of 38(58%) males and 27(42%) females age ranging from 5 to 83 years 43 (66%) were malignant and 22 (34%) were benign renal masses. Renal cell carcinoma (n=34) accounted for 52% of all renal masses. There was significant association in imaging helping to differentiate benign and malignant masses based on various imaging characteristics. CONCLUSION: Multi–detector computed tomography is an accurate and reliable investigation for detection and preoperative staging of renal cell carcinoma.