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Article: Spontaneous rupture of renal tumours: the role of imaging in diagnosis and management

TitleSpontaneous rupture of renal tumours: the role of imaging in diagnosis and management
Authors
Issue Date1998
PublisherBritish Institute of Radiology. The Journal's web site is located at http://bjr.birjournals.org
Citation
British Journal of Radiology, 1998, v. 71 n. 842, p. 146-154 How to Cite?
AbstractThis study aimed to evaluate whether patients presenting with spontaneous haemorrhage from renal tumours could be accurately diagnosed and initially managed conservatively, and evaluate the role of imaging in guiding the timing and type of subsequent operation. The clinical features, imaging findings and management of seven patients presenting with spontaneous rupture of renal tumour over a 5-year period were reviewed. The information from various imaging studies was evaluated in relation to the subsequent course of intervention. The tumours consisted of six angiomyolipomas and one renal cell carcinoma. In all cases, imaging studies were diagnostic, with computed tomography being the most useful single modality. Emergency surgery was required in one patient for evacuation of suspected infected haematoma and wedge excision of angiomyolipoma. Three elective nephrectomies were performed, while three other patients with ruptured angiomyolipoma were treated conservatively and remained well, without any intervention. In conclusion, patients presenting with spontaneous rupture of renal tumour can be managed conservatively initially. Imaging facilitates accurate pre-operative diagnosis, which was angiomyolipoma in all but one patient in this series. The subsequent intervention can be tailored according to the lesion type and the anticipated risk of re-haemorrhage.
Persistent Identifierhttp://hdl.handle.net/10722/49016
ISSN
2015 Impact Factor: 1.84
2015 SCImago Journal Rankings: 0.834
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorYip, KHen_HK
dc.contributor.authorPeh, WCGen_HK
dc.contributor.authorTam, PCen_HK
dc.date.accessioned2008-06-12T06:32:19Z-
dc.date.available2008-06-12T06:32:19Z-
dc.date.issued1998en_HK
dc.identifier.citationBritish Journal of Radiology, 1998, v. 71 n. 842, p. 146-154en_HK
dc.identifier.issn0007-1285en_HK
dc.identifier.urihttp://hdl.handle.net/10722/49016-
dc.description.abstractThis study aimed to evaluate whether patients presenting with spontaneous haemorrhage from renal tumours could be accurately diagnosed and initially managed conservatively, and evaluate the role of imaging in guiding the timing and type of subsequent operation. The clinical features, imaging findings and management of seven patients presenting with spontaneous rupture of renal tumour over a 5-year period were reviewed. The information from various imaging studies was evaluated in relation to the subsequent course of intervention. The tumours consisted of six angiomyolipomas and one renal cell carcinoma. In all cases, imaging studies were diagnostic, with computed tomography being the most useful single modality. Emergency surgery was required in one patient for evacuation of suspected infected haematoma and wedge excision of angiomyolipoma. Three elective nephrectomies were performed, while three other patients with ruptured angiomyolipoma were treated conservatively and remained well, without any intervention. In conclusion, patients presenting with spontaneous rupture of renal tumour can be managed conservatively initially. Imaging facilitates accurate pre-operative diagnosis, which was angiomyolipoma in all but one patient in this series. The subsequent intervention can be tailored according to the lesion type and the anticipated risk of re-haemorrhage.en_HK
dc.format.extent418 bytes-
dc.format.mimetypetext/html-
dc.languageengen_HK
dc.publisherBritish Institute of Radiology. The Journal's web site is located at http://bjr.birjournals.orgen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshAngiomyolipoma - complications - radiography - ultrasonographyen_HK
dc.subject.meshKidney Neoplasms - complications - radiography - ultrasonographyen_HK
dc.subject.meshCarcinoma, Renal Cell - complications - radiographyen_HK
dc.subject.meshHemorrhage - etiology - radiographyen_HK
dc.subject.meshRupture, Spontaneousen_HK
dc.titleSpontaneous rupture of renal tumours: the role of imaging in diagnosis and managementen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0007-1285&volume=71&issue=842&spage=146&epage=154&date=1998&atitle=Spontaneous+rupture+of+renal+tumours:+the+role+of+imaging+in+diagnosis+and+managementen_HK
dc.identifier.emailPeh, WCG: wcgpeh@hkucc.hku.hken_HK
dc.identifier.emailTam, PC: hrmstpc@HKUCC.hku.hken_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid9579178-
dc.identifier.scopuseid_2-s2.0-0031884741-
dc.identifier.hkuros31313-
dc.identifier.isiWOS:000072107800004-

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