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Extraosseous Metastases and Local Recurrence

  • Chapter
Imaging of Kidney Cancer

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

16.11 Conclusion

Metastatic lesions from kidney cancer are seen in virtually every organ: the lung; pleura; pancreas; adrenal gland; liver; contralateral kidney; bone; lymph nodes; muscles; etc. These lesions can masquerade as another primary tumor. It is important to distinguish metastatic spread of RCC from primary tumors, as this knowledge is essential for the correct diagnosis and for determining the most effective treatment. Imaging studies are essential, as are histopathological examinations. Whole-body spiral CT is currently the method of choice for evaluating the postsurgical nephrectomy site for the presence of recurrent lesions and for detecting the usual anatomical sites of metastases. Like the primary tumor, metastatic lesions tend to be hypervascular and intravenous contrast administration is very useful. Other radiological modalities may be of interest when exploring particular organs, such as US for the liver and MR imaging for the brain and spine. Knowledge of the mechanisms, risk factors, and clinical timing of recurrent disease in surgically treated renal cancer aids the radiologist in understanding and detecting the patterns of recurrence observed on imaging.

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  1. Oncology Services, Department of Radiology Services, Synarc Inc., 575 Market Street, 17th Floor, San Francisco, CA, 94105, USA

    Ali Guermazi MD (Senior Radiologist, Scientific Director)

  2. Oncology Clinical Development and Medical Affairs, Glaxo Smith Kline R&D, Greenford Road, Greenford, Middlesex, UB6 0HE, England, UK

    Iman El-Hariry MD, PhD (Senior Director)

  3. Radiology Services, Synarc Inc., 575 Market Street, 17th Floor, San Francisco, CA, 94105, USA

    Yves Miaux MD, MSc (Senior Vice President)

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    Ali Guermazi MD (Senior Radiologist, Scientific Director) (Senior Radiologist, Scientific Director)

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Guermazi, A., El-Hariry, I., Miaux, Y. (2006). Extraosseous Metastases and Local Recurrence. In: Guermazi, A. (eds) Imaging of Kidney Cancer. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30003-1_16

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