Beschreibung
After the positive response which followed the first edition of this book 6 years ago, the editors were encouraged to prepare a completely reworked second edition that includes the modern advances in this field. There has been a complete change of diagnostic procedure in the detection of renal tumors, which is now based on sonography, computed tomography, and nuclear magnetic resonance imaging, pushing intravenous urography and angiography completely into the background. Also, new methods of treat ment with radionuclides using embolisation are incorporated. The description of morphological structures forms the basis for under standing and recognising pathology of the kidneys and adrenals. The con tents of pathological morphology could be extended, as we are of the opinion that the detection and therapy of renal and adrenal tumors are derived from different areas of diagnostic science. We are indebted to Springer-Verlag for the excellent book production. On behalf of all the authors, we would like to thank our colleagues and associates for their cooperation in the realisation of this project. The editors hope that this volume will be of interest to radiologists, pa thologists, urologists, pediatrists, and also radiotherapists. Essen, April 1987 EBERHARD LOHR LUTZ-DIETRICH LEDER Table of Contents Pathology of Renal and Adrenal Neoplasms LEDER, L.-D., RICHTER, H.l.
Autorenporträt
InhaltsangabePathology of Renal and Adrenal Neoplasms.- 1 Tumors and Tumorlike Lesions of the Kidney in the Adult.- 1.1 General Remarks.- 1.2 Heterotopic Tissue.- 1.2.1 Adrenal Tissue.- 1.2.2 Endometriosis.- 1.2.3 Cartilaginous Islands.- 1.3 Benign Mesenchymal Tumors.- 1.3.1 Leiomyoma and Lipoma.- 1.3.2 Angiomyolipoma.- 1.3.3 Hemangioma.- 1.3.4 Juxtaglomerular Tumor.- 1.3.5 Lymphangioma.- 1.3.6 Fibroma (Renomedullary Interstitial Cell Tumor).- 1.3.7 Neurogenic Tumors.- 1.4 Malignant Mesenchymal Tumors.- 1.4.1 Leiomyosarcoma.- 1.4.2 Rhabdomyosarcoma.- 1.4.3 Liposarcoma.- 1.4.4 Angiosarcoma (Hemangioendothelioma).- 1.4.5 Hemangiopericytoma.- 1.4.6 Fibrosarcoma.- 1.4.7 Fibroxanthosarcoma and Malignant Fibrous Histiocytoma.- 1.4.8 Osteogenic Sarcoma and Chondrosarcoma.- 1.4.9 Hemoblastoses.- 1.5 Epithelial Tumors.- 1.5.1 Renal "Adenoma".- 1.5.2 Renal Cell Oncocytoma.- 1.5.3 Renal Carcinoid.- 1.5.4 Renal Adenocarcinoma.- 2 Renal Neoplasias of Infancy and Childhood.- 2.1 Nephroblastoma.- 2.1.1 General Remarks.- 2.1.2 Epidemiology.- 2.1.3 Cause.- 2.1.4 Gross Pathology.- 2.1.5 Histopathology.- 2.1.6 Special Histologic Variants.- 2.1.7 Grading.- 2.1.8 Staging.- 2.1.9 Spread and Biologic Behavior.- 2.2 Nodular Renal Blastema and Nephroblastomatosis.- 3 Tumors of the Renal Pelvis.- 3.1 General Remarks.- 3.2 Papilloma.- 3.3 Inverted Papilloma.- 3.4 Fibroepithelial Polyp.- 3.5 Carcinoma.- 3.5.1 Introduction.- 3.5.2 Causes.- 3.5.3 Epidemiology.- 3.5.4 Transitional Cell Carcinoma.- 3.5.5 Squamous Epithelial Carcinoma.- 3.5.6 Adenocarcinoma.- 3.5.7 Undifferentiated Carcinoma and Carcinosarcoma.- 3.5.8 Grading.- 3.5.9 Staging.- 3.5.10 Spread.- 3.5.11 Prognosis.- 4 Tumors of the Adrenal.- 4.1 Introduction.- 4.2 Tumors of the Adrenal Cortex.- 4.2.1 General Remarks.- 4.2.2 Adenomas.- 4.2.3 Primary Carcinoma.- 4.2.4 Secondary Carcinoma.- 4.3 Tumors of the Adrenal Medulla.- 4.3.1 General Remarks.- 4.3.2 Neuroblastoma and Ganglioneuroblastoma.- 4.3.3 Ganglioneuroma.- 4.3.4 Pheochromocytoma.- 4.4 Myelolipoma and Cysts.- 4.4.1 Myelolipoma.- 4.4.2 Cysts.- Ultrasound Diagnosis of Renal and Pararenal Tumors.- 1 Introduction.- 2 Method.- 2.1 Apparatus.- 2.2 Technique of Examination.- 3 The Abnormal Kidney.- 3.1 Cysts.- 3.1.1 Simple Cysts.- 3.1.2 Atypical Cysts.- 3.1.3 Parapelvic Cysts.- 3.1.4 Adult Polycystic Disease.- 3.1.5 Infantile and Juvenile Polycystic Disease.- 3.2 Solid Tumors.- 3.2.1 Renal Cell Carcinoma.- 3.2.2 "Adenomas" and Oncocytomas.- 3.2.3 Angiomyolipoma.- 3.2.4 Metastases.- 3.2.5 Wilms' Tumor.- 3.2.6 Transitional Cell Carcinoma of the Kidney.- 3.3 Perirenal Lesions.- 3.3.1 Hematomas.- 3.3.2 Abscesses.- 3.3.3 Lymphoceles.- 3.3.4 Pancreatic Pseudocysts.- 4 Extrarenal Lesions.- 5 Diagnostic Procedure in Renal Tumors.- Computed-Body-Tomography of Renal Carcinoma and Perirenal Masses.- 1 Introduction.- 2 Anatomy.- 3 Methods.- 3.1 General Considerations.- 3.2 Positioning of the Patient.- 3.3 Contrast.- 3.4 CT Enhancement Values.- 3.5 Levels of Confidence.- 4 Renal Carcinoma.- 4.1 Staging.- 4.2 CT Findings.- 4.3 Tumor Spread.- 4.4 Tumor Invading Vena Cava.- 5 Clear Cell Carcinoma.- 6 Metastases Simulating Primary Renal Carcinoma.- 7 Malignant Tumors of Different Histologic Pattern.- 8 Benign Tumors.- 8.1 Lipomas.- 8.2 Angiomyolipomas.- 8.3 Angiomas, Aneurysms.- 9 Tumors of the Collecting System, Transitional Cell Carcinoma.- 10 Retroperitoneal Lymphomas.- 11 Neuroblastoma and Nephroblastoma.- 12 Differential Diagnostic Considerations: Pseudotumorous Mass Lesions vs Renal Tumor.- 12.1 Peri- and Paranephritic Abscesses.- 12.2 Xanthogranulomatous Nephritis.- 12.3 Hyperdense Cysts.- 12.4 Pseudotumors of Different Origin.- Magnetic Resonance Imaging of Renal Mass Lesions.- 1 Introduction.- 2 Equipment.- 3 Technique of Examination.- 3.1 Normal Kidney.- 4 Benign Lesions.- 4.1 Renal Edema.- 4.2 Hydronephrosis.- 4.3 Cysts.- 4.4 Renal Abscess.- 4.5 Renal Hemorrhage.- 4.6 Benign Renal Tumors.- 4.7 Renal Sinus Fibrolipomatosis.- 5 Renal Malignancies.- 5.1 Renal Cell Car
