Renal Sinus Neoplasms

  • Sung Eun Rha
  • Jae Young Byun
Part of the Medical Radiology book series (MEDRAD)

12.7 Conclusion

A broad pathologic spectrum of tumors can occur in the renal sinus. The diagnosis and exact preoperative staging of renal sinus tumors relies on a multimodality imaging approach that includes excretory urography, US, CT, MR imaging, and angiography. Ultrasound is an excellent noninvasive technique to confirm whether such a mass is cystic or solid. If US findings suggest a solid mass, CT or MR imaging is used as a problem-solving technique and for evaluation of the staging or to determine the extent of the lesion. In general, the coronal plane of cross-sectional imaging is the most useful for the evaluation of renal sinus lesions, because it provides a comprehensive view of complicated renal sinus pathology. Familiarity with the imaging features and differential diagnoses of various renal sinus tumors will facilitate prompt, accurate diagnosis and treatment.


Renal Cell Carcinoma Renal Pelvis Transitional Cell Carcinoma Compute Tomogra Excretory Urography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Amis ES Jr (2000) Cysts of the renal sinus. In: Pollack HM, McClennan BL (eds) Clinical urography, 2nd edn. Saunders, Philadelphia, pp 1404–1412Google Scholar
  2. Amis ES Jr, Cronan JJ (1988) The renal sinus: an imaging review and proposed nomenclature for sinus cysts. J Urol 139:1151–1159PubMedGoogle Scholar
  3. Baron RL, McClennan BL, Lee JK et al. (1982) Computed tomography of transitional cell carcinoma of the renal pelvis and ureter. Radiology 144:125–130PubMedGoogle Scholar
  4. Blacher EJ, Johnson DE, Abdul-Karim FW et al. (1985) Squamous cell carcinoma of renal pelvis. Urology 25:124–126PubMedCrossRefGoogle Scholar
  5. Bonsib SM, Gibson D, Mhoon M, Greene GF (2000) Renal sinus involvement in renal cell carcinomas. Am J Surg Pathol 24:451–458PubMedCrossRefGoogle Scholar
  6. Borrego J, Cuesta C, Allona A et al. (1995) Myxoid neurofibroma of the renal sinus. Actas Urol Esp 19:415–418PubMedGoogle Scholar
  7. Castillo OA, Boyle ET Jr, Kramer SA (1991) Multilocular cysts of kidney: a study of 29 patients and review of literature. Urology 37:156–162PubMedCrossRefGoogle Scholar
  8. Choi YJ, Hwang TK, Kang SJ et al. (1996) Hemangiopericytoma of renal sinus expanding to the renal hilum: an unusual presentation causes misinterpretation as transitional cell carcinoma. J Korean Med Sci 11:351–355PubMedGoogle Scholar
  9. Cormier P, Patel SK, Turner DA et al. (1989) MR imaging findings in renal medullary fibroma. Am J Roentgenol 153:83–84Google Scholar
  10. Dasgupta P, Sandison A, Parks C et al. (1998) Case report: Renal leiomyoma with unusual calcification. Clin Radiol 53:857–858PubMedGoogle Scholar
  11. Davidson AJ, Hartman DS, Choyke PL et al. (1999) Renal sinus and periureteral abnormalities. In: Davidson AJ, Hartman DS, Choyke PL et al. (eds) Davidson’s radiology of the kidney and genitourinary tract, 3rd edn. Saunders, Philadelphia, pp 431–455Google Scholar
  12. Davis R, Vaccaro JA, Hodges GF (1992) Renal leiomyosarcoma: plea for aggressive therapy. Urology 40:168–171PubMedCrossRefGoogle Scholar
  13. Ewald N, Cukier J, Roth A et al. (1982) Teratoma of the renal sinus. Apropos of a case. J Urol (Paris) 88:553–554Google Scholar
  14. Heppe RK, Donohue RE, Clark JE (1991) Bilateral renal hemangiopericytoma. Urology 38:249–253PubMedGoogle Scholar
  15. Jafri SZ, Bree RL, Amendola MA et al. (1982) CT of renal and perirenal non-Hodgkin lymphoma. Am J Roentgenol 138:1101–1105Google Scholar
  16. Jeffrey RB Jr (2004) Clinical impact of multidetector CT. In: Fishman EK, Jeffrey RB Jr (eds) Multidetector CT. Principles, techniques, and clinical applications. Lippincott Williams and Wilkins, Philadelphia, pp 53–58Google Scholar
  17. Kawashima A, Goldman SM (2000) Neoplasms of the renal collecting system, pelvis, and ureters. In: Pollack HM, McClennan BL (eds) Clinical urography, 2nd edn. Saunders, Philadelphia, pp 1560–1641Google Scholar
  18. McLaughlin JK, Blot WJ, Mandel JS et al. (1983) Etiology of cancer of the renal pelvis. J Natl Cancer Inst 71:287–291PubMedGoogle Scholar
  19. Lee HS, Koh BH, Kim JW et al. (2000) Radiologic findings of renal hemangioma: report of three cases. Korean J Radiol 1:60–63PubMedGoogle Scholar
  20. Madewell JE, Goldman SM, Davis CJ Jr et al. (1983) Multilocular cystic nephroma: a radiographic-pathologic correlation of 58 patients. Radiology 146:309–321PubMedGoogle Scholar
  21. Metro MJ, Ramchandani P, Banner MP et al. (2000) Angiomyolipoma of the renal sinus: diagnosis by percutaneous biopsy. Urology 55:286PubMedCrossRefGoogle Scholar
  22. Narumi Y, Sato T, Hori S et al. (1989) Squmous cell carcinoma of the uroepithelium: CT evaluation. Radiology 173:853–856PubMedGoogle Scholar
  23. Pickhardt PJ, Lonergan GJ, Davis CJ Jr et al. (2000) Infiltrative renal lesions: radiologic-pathologic correlation. Radiographics 20:215–243PubMedGoogle Scholar
  24. Pozzi-Mucelli R, Rimondini A, Morra A (2004) Radiologic evaluation in planning surgery of renal tumors. Abdom Imaging 29:312–319PubMedCrossRefGoogle Scholar
  25. Pretorius ES, Siegelman ES, Ramchandani P et al. (1999) Renal neoplasms amenable to partial nephrectomy: MR imaging. Radiology 212:28–34PubMedGoogle Scholar
  26. Rha SE, Byun JY, Jung SE et al. (2004) The renal sinus: pathologic spectrum and multi-modality imaging approach. Radiographics 24(Suppl 1):S117–S131PubMedGoogle Scholar
  27. Rosenfield AT, Taylor KJ, Dembner AG et al. (1979) Ultrasound of renal sinus: new observations. Am J Roentgenol 133:441–448Google Scholar
  28. Shirkhoda A, Lewis E (1987) Renal sarcoma and sarcomatoid renal cell carcinoma: CT and angiographic features. Radiology 162:353–357PubMedGoogle Scholar
  29. Urban BA, Fishman EK (2000) Renal lymphoma: CT patterns with emphasis on helical CT. Radiographics 20:197–212PubMedGoogle Scholar
  30. Urban BA, Buckley J, Soyer P et al. (1997) CT appearance of transitional cell carcinoma of the renal pelvis. Part 1. Earlystage disease. Am J Roentgenol 169:157–161Google Scholar
  31. Urban BA, Buckley J, Soyer P et al. (1997) CT appearance of transitional cell carcinoma of the renal pelvis. Part 2. Advanced-stage disease. Am J Roentgenol 169:163–168Google Scholar
  32. Virgili G, Stasi SM di, Bove P et al. (2003) Cavernous hemangioma of the renal hilum presenting as an avascularized solid mass. Urol Int 71:325–328PubMedCrossRefGoogle Scholar
  33. Walther PJ (1997) Uncommon neoplasms of the kidney. In: Raghavan D, Scher HI, Leibel SA, Lange PH (eds) Principles and practice of genitourinary oncology. Lippincott-Raven, Philadelphia, pp 897–909Google Scholar
  34. Wimbish KJ, Sanders MM, Samuels BI et al. (1983) Squamous cell carcinoma of the renal pelvis: case report emphasizing sonographic and CT appearance. Urol Radiol 5:267–269PubMedCrossRefGoogle Scholar
  35. Wong-You-Cheong JJ, Wagner BJ, Davis CJ Jr (1998) Transitional cell carcinoma of the urinary tract: radiologic-pathologic correlation. Radiographics 18:123–142PubMedGoogle Scholar
  36. Yoon YD, Byun JY, Jee WH et al. (1997) Imaging diagnosis in various renal sinus lesions. J Korean Radiol Soc 37:509–514Google Scholar
  37. Yusim IE, Neulander EZ, Eidelberg I et al. (2001) Leiomyoma of the genitourinary tract. Scand J Urol Nephrol 35:295–299PubMedGoogle Scholar
  38. Zagoria RJ, Tung GA (1997) Renal masses. In: Zagoria RJ, Tung GA (eds) Genitourinary radiology: the requisites. Mosby, St. Loius, pp 81–121Google Scholar
  39. Zagoria RJ, Tung GA (1997) The renal sinus, pelvocalyceal system, and ureter. In: Zagoria RJ, Tung GA (eds) Genitourinary radiology: the requisites. Mosby, St. Louis, pp 152–191Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2006

Authors and Affiliations

  • Sung Eun Rha
    • 1
  • Jae Young Byun
    • 1
  1. 1.Department of Radiology, Kangnam St. Mary’s Hospital, College of MedicineThe Catholic University of KoreaSeoulSouth Korea

Personalised recommendations