Iraqi Postgraduate Medical Journal

Abstract

ABSTRACT:
BACKGROUND:
This prospective study was done in spiral CT units at Al-Yarmook teaching hospital & Al-Kadhmia teaching hospital , in the period from October 2005 to October 2007, 40 Patients with renal masses were examined
OBJECTIVE:
To evaluate the role of spiral CT in the diagnosis of renal mass lesion. Agreement between spiral CT with histopathology in diagnosis of renal masses by spiral computed tomography.
PATIENTS & METHODS :
Forty patients with renal masses were referred to spiral CT examination , they were referred from urology department . The final diagnosis of most cases was confirmed by surgery and histopathology in (36) cases. The patients ages ranged from (3-79) years. Data collection regarding age, sex, occupation, history of cigarette smoking, history of renal stones, clinical presentation, past history, family history of renal disease, history of trauma and previous history of hospital admission were made.
RESULTS:
The most common age group affected was (50-59) most frequently Presenting symptom was haematuria .
The sensitivity 76.9%, specifity 97%, PPV 78%, NPV 96.4% and accuracy of CT in diagnosis of renal masses was 96%.
CONCLUSION:
This study shows that CT is highly specific and accurate for diagnosis of renal masses and especially the renal cell carcinoma,which is the most common tumor detected in this study