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Using MR Angiography for Surgical Planning in Pelvic Kidney Renal Cell Carcinoma

Mehmet Kocak1, Gary S. Sudakoff2, Scott Erickson1, Frank Begun3 and Milton Datta4

1 Department of Radiology, Medical College of Wisconsin, Froedtert Hospital, Milwaukee, WI 53226.
2 Department of Radiology, Rm. 2803, Medical College of Wisconsin, Froedtert Hospital, 9200 W. Wisconsin Ave., Milwaukee, WI 53226.
3 Department of Urology, Medical College of Wisconsin, Froedtert Hospital, Milwaukee, WI 53226.
4 Department of Pathology, Medical College of Wisconsin, Froedtert Hospital, Milwaukee, WI 53226.



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  		Fig. 1A. —25-year-old woman with 2-month history of pelvic pain. Contrast-enhanced axial CT scan of pelvis shows left pelvic kidney (white arrows) with hypoattenuating mass (black arrows) displacing renal collection system. Biopsy of mass revealed renal cell carcinoma.

 


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  		Fig. 1B. —25-year-old woman with 2-month history of pelvic pain. Multiplanar volume reformatted, coronal MR angiogram viewed anteriorly shows vascular supply to pelvic kidney and to lower pole renal mass. RCIA = right common iliac artery, LCIA = left common iliac artery, LEIA = left external iliac artery, LIIA = left internal iliac artery.

 


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  		Fig. 1C. —25-year-old woman with 2-month history of pelvic pain. Volume rendering coronal MR angiogram, viewed posteriorly, shows vascular supply to left lower pole renal mass. RCIA = right common iliac artery, LCIA = left common iliac artery, LEIA = left external iliac artery, LIIA = left internal iliac artery, REIA = right external iliac artery.

 

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