Computed tomography in urothelial tumors of renal pelvis and related filling defects |
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| Authors: | J V Cholankeril R Freundlich S Ketyer A L Spirito J Napolitano |
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| Institution: | 1. From the Department of Radiology, Jersey City Medical Center, Jersey City, USA;2. the Departments of Medicine, Radiology, Urology, and Pathology, Elizabeth Hospital, Elizabeth, New Jersey, USA;1. International Institute for Carbon-Neutral Energy Research, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395, Japan;2. Department of Applied Chemistry, Faculty of Engineering, Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395, Japan;1. Department of diagnostic and interventional neuroradiology, RWTH Aachen university, 52074 Aachen, Germany;2. Department for diagnostic and interventional radiology, Eberhard Karls University Tuebingen, university hospital Tuebingen, Hoppe-Seyler-Straße 3, 72076 Tübingen, Germany;1. Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria;2. Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia;3. Department of Urology and Division of Experimental Oncology, Urological Research Institute, Vita-Salute San Raffaele, Milan, Italy;4. Division of Urology, Department of Surgical Sciences, San Giovanni Battista Hospital, University of Studies of Torino, Torino, Italy;5. S.H. Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China;6. Department of Urology, The Jikei University School of Medicine, Tokyo, Japan;7. Service d''Urologie, Hôpital Erasme, Université Libre de Bruxelles, Bruxelles, Belgium;8. Department of Urology, Careggi Hospital, University of Florence, Florence, Italy;9. Department of Minimally Invasive and Robotic Urology, University Center of Excellence in Urology, Wrocław Medical University, Wroclaw, Poland;10. Section of Pathological Anatomy, Marche Polytechnic University, School of Medicine, United Hospitals, Ancona, Italy;11. Division of Urology, Department of Special Surgery, Jordan University Hospital, The University of Jordan, Amman, Jordan;12. Department of Urology, Hôpital Foch, UVSQ-Paris-Saclay University, Suresnes, France;13. Urology Unit, University Hospital Santa Maria della Misericordia, Udine, Italy;14. Department of Urology, Bichat-Claude Bernard Hospital, Assistance Publique-Hôpitaux de Paris, Paris University, Paris, France;15. Department of Urology, M.D. Anderson Cancer Center, University of Texas, Houston, TX, USA;p. GRC n°5, Predictive Onco-Urology, Ap-Hp, Urology, Hôpital Pitié-Salpêtrière, Sorbonne Université, Paris, France;q. Department of Urology, Second Faculty of Medicine, Hospital Motol, Charles University, Prague, Czech Republic;r. Department of Urology, Radboud University, Nijmegen Heyendaal, The Netherlands;s. Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria;t. Department of Urology, Weill Cornell Medical College, New York, NY, USA;u. Department of Urology, University of Texas Southwestern, Dallas, TX, USA;1. Speciality Doctor, Obstetrics and Gynaecology, St Mary''s Hospital, Manchester University Foundation Trust, Manchester, United Kingdom;2. Consultant Paediatric and Perinatal Histopathologist, Department of Paediatric Histopathology, Royal Manchester Children''s Hospital, Manchester, United Kingdom;3. Consultant ,Gynaecology, St Mary''s Hospital, Manchester University Foundation Trust, Manchester, United Kingdom |
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| Abstract: | Our study includes 12 patients. Of these, six had transitional cell carcinoma, three patients with stones and three patients with blood clots. With the use of computed tomography we were able to arrive at a reasonable staging and diagnosis of the filling defects. Computed tomography is not sufficiently sensitive to recognize microscopic invasion. Reactive fibrosis and postobstructive inflammatory changes can mimic tumor invasion on computed tomography, and in such cases staging will not be accurate. |
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