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American Journal of Roentgenology, Vol 100, 698-708, Copyright © 1967 by American Roentgen Ray Society

THE DIAGNOSTIC APPROACH TO THE PARENCHYMAL RENAL MASS

RICHARD HOFFMAN M.D.1 and JOHN RILEY M.D.1

1 From the Department of Radiology, The Center for the Health Sciences, University of California, Los Angeles, California

The rationale and principles of a logical approach to the radiologic diagnosis of the renal mass are presented. The advantages and limitations of plain roentgenography, intravenous urography, drip infusion pyelography, retrograde pvelography, renal scanning, nephrotomographv, aortography, selective renal arteniography, and percutaneous cyst puncture are discussed. A technique for cyst puncture utilizing image intensification is described.

[see figure in the PDF file]

With this approach, surgery can be definitive rather than exploratory. The patient with hypernephroma is, thus, given a greater chance for cure and unnecessary surgery is avoided in the patient with a cyst.


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Copyright © 1967 by the American Roentgen Ray Society.