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Renal Oncocytoma
Lori Mankowski Gettle, MD, MBA, FSRU; Matthew T. Heller, MD, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Proximal tubular adenoma with oncocytic features
          • Definitions

            • Benign renal tumor composed of eosinophilic epithelial cells arising from intercalated cells of collecting ducts

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Angiographic Findings

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. King KG: Use of Contrast ultrasound for renal mass evaluation. Radiol Clin North Am. 58(5):935-49, 2020
                                              2. Valencia-Guerrero A et al: Update on renal neoplasms: clinicopathologic-radiologic correlation with case-based examples. AJR Am J Roentgenol. 214(6):1220-8, 2020
                                              3. Diaz de Leon A et al: Role of virtual biopsy in the management of renal masses. AJR Am J Roentgenol. 1-10, 2019
                                              4. Kay FU et al: Imaging of solid renal masses. Urol Clin North Am. 45(3):311-30, 2018
                                              5. Kazmierski B et al: Applications of contrast-enhanced ultrasound in the kidney. Abdom Radiol (NY). 43(4):880-98, 2018
                                              6. Li A et al: Subtype differentiation of small (≤ 4 cm) solid renal mass using volumetric histogram analysis of DWI at 3-T MRI. AJR Am J Roentgenol. 211(3):614-23, 2018
                                              7. Miller BL et al: Comparative analysis of surgery, thermal ablation, and active surveillance for renal oncocytic neoplasms. Urology. 112:92-97, 2018
                                              8. Sasaguri K et al: CT and MR imaging for solid renal mass characterization. Eur J Radiol. 99:40-54, 2018
                                              9. Varghese BA et al: Differentiation of predominantly solid enhancing lipid-poor renal cell masses by use of contrast-enhanced CT: evaluating the role of texture in tumor subtyping. AJR Am J Roentgenol. 211(6):W288-96, 2018
                                              10. Yap FY et al: Quantitative contour analysis as an image-based discriminator between benign and malignant renal tumors. Urology. 114:121-7, 2018
                                              11. Chen F et al: Voxel-based whole-lesion enhancement parameters: a study of its clinical value in differentiating clear cell renal cell carcinoma from renal oncocytoma. Abdom Radiol (NY). 42(2):552-60, 2017
                                              12. Coy H et al: Quantitative computer-aided diagnostic algorithm for automated detection of peak lesion attenuation in differentiating clear cell from papillary and chromophobe renal cell carcinoma, oncocytoma, and fat-poor angiomyolipoma on multiphasic multidetector computed tomography. Abdom Radiol (NY). 42(7):1919-28, 2017
                                              13. Dhyani M et al: Aorta-lesion-attenuation-difference (ALAD) on contrast-enhanced CT: a potential imaging biomarker for differentiating malignant from benign oncocytic neoplasms. Abdom Radiol (NY). 42(6):1734-43, 2017
                                              14. Galmiche C et al: Is Multiparametric MRI useful for differentiating oncocytomas from chromophobe renal cell carcinomas? AJR Am J Roentgenol. 208(2):343-50, 2017
                                              15. Lopes Vendrami C et al: Differentiation of solid renal tumors with multiparametric MR imaging. Radiographics. 37(7):2026-42, 2017
                                              16. Sussman RD et al: Giant renal oncocytoma with classic stellate scar. BMJ Case Rep. 2017, 2017
                                              17. Zhong Y et al: Diffusion-weighted imaging versus contrast-enhanced MR imaging for the differentiation of renal oncocytomas and chromophobe renal cell carcinomas. Eur Radiol. 27(12):4913-22, 2017
                                              18. Ishigami K et al: Characterization of renal cell carcinoma, oncocytoma, and lipid-poor angiomyolipoma by unenhanced, nephrographic, and delayed phase contrast-enhanced computed tomography. Clin Imaging. 39(1):76-84, 2015
                                              19. Sasaguri K et al: Small (< 4 cm) renal mass: differentiation of oncocytoma from renal cell carcinoma on biphasic contrast-enhanced CT. AJR Am J Roentgenol. 205(5):999-1007, 2015
                                              20. Woo S et al: Imaging findings of common benign renal tumors in the era of small renal masses: differential diagnosis from small renal cell carcinoma: current status and future perspectives. Korean J Radiol. 16(1):99-113, 2015
                                              21. Cornelis F et al: Routinely performed multiparametric magnetic resonance imaging helps to differentiate common subtypes of renal tumours. Eur Radiol. 24(5):1068-80, 2014
                                              22. Davarpanah AH et al: MR imaging of the kidneys and adrenal glands. Radiol Clin North Am. 52(4):779-98, 2014
                                              23. Ishigami K et al: Imaging spectrum of renal oncocytomas: a pictorial review with pathologic correlation. Insights Imaging. 6(1):53-64, 2014
                                              24. Kang SK et al: Solid renal masses: what the numbers tell us. AJR Am J Roentgenol. 202(6):1196-206, 2014
                                              25. Woo S et al: Comparison of segmental enhancement inversion on biphasic MDCT between small renal oncocytomas and chromophobe renal cell carcinomas. AJR Am J Roentgenol. 201(3):598-604, 2013
                                              26. Bai X et al: Renal cell carcinoma and mimics: pathologic primer for radiologists. AJR Am J Roentgenol. 198(6):1289-93, 2012
                                              27. Taneja R et al: Common and less-common renal masses and masslike conditions. Radiol Clin North Am. 50(2):245-57, v-vi, 2012
                                              28. Gakis G et al: Small renal oncocytomas: differentiation with multiphase CT. Eur J Radiol. 80(2):274-8, 2011
                                              29. Alshumrani G et al: Small (< or = 4 cm) cortical renal tumors: characterization with multidetector CT. Abdom Imaging. 35(4):488-93, 2010
                                              30. Pedrosa I et al: MR imaging of renal masses: correlation with findings at surgery and pathologic analysis. Radiographics. 28(4):985-1003, 2008
                                              31. Tickoo SK et al: Pathologic features of renal cortical tumors. Urol Clin North Am. 35(4):551-61; v, 2008
                                              32. Landau A et al: Adrenocortical oncocytoma: benign or malignant? ANZ J Surg. 74(5):390, 2004
                                              33. Bandhu S et al: Spoke-wheel pattern in renal oncocytoma seen on double-phase helical CT. Australas Radiol. 47(3):298-301, 2003
                                              34. Katz DS et al: Renal oncocytomatosis. Am J Kidney Dis. 27(4):579-82, 1996
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Proximal tubular adenoma with oncocytic features
                                                      • Definitions

                                                        • Benign renal tumor composed of eosinophilic epithelial cells arising from intercalated cells of collecting ducts

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Angiographic Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. King KG: Use of Contrast ultrasound for renal mass evaluation. Radiol Clin North Am. 58(5):935-49, 2020
                                                                                          2. Valencia-Guerrero A et al: Update on renal neoplasms: clinicopathologic-radiologic correlation with case-based examples. AJR Am J Roentgenol. 214(6):1220-8, 2020
                                                                                          3. Diaz de Leon A et al: Role of virtual biopsy in the management of renal masses. AJR Am J Roentgenol. 1-10, 2019
                                                                                          4. Kay FU et al: Imaging of solid renal masses. Urol Clin North Am. 45(3):311-30, 2018
                                                                                          5. Kazmierski B et al: Applications of contrast-enhanced ultrasound in the kidney. Abdom Radiol (NY). 43(4):880-98, 2018
                                                                                          6. Li A et al: Subtype differentiation of small (≤ 4 cm) solid renal mass using volumetric histogram analysis of DWI at 3-T MRI. AJR Am J Roentgenol. 211(3):614-23, 2018
                                                                                          7. Miller BL et al: Comparative analysis of surgery, thermal ablation, and active surveillance for renal oncocytic neoplasms. Urology. 112:92-97, 2018
                                                                                          8. Sasaguri K et al: CT and MR imaging for solid renal mass characterization. Eur J Radiol. 99:40-54, 2018
                                                                                          9. Varghese BA et al: Differentiation of predominantly solid enhancing lipid-poor renal cell masses by use of contrast-enhanced CT: evaluating the role of texture in tumor subtyping. AJR Am J Roentgenol. 211(6):W288-96, 2018
                                                                                          10. Yap FY et al: Quantitative contour analysis as an image-based discriminator between benign and malignant renal tumors. Urology. 114:121-7, 2018
                                                                                          11. Chen F et al: Voxel-based whole-lesion enhancement parameters: a study of its clinical value in differentiating clear cell renal cell carcinoma from renal oncocytoma. Abdom Radiol (NY). 42(2):552-60, 2017
                                                                                          12. Coy H et al: Quantitative computer-aided diagnostic algorithm for automated detection of peak lesion attenuation in differentiating clear cell from papillary and chromophobe renal cell carcinoma, oncocytoma, and fat-poor angiomyolipoma on multiphasic multidetector computed tomography. Abdom Radiol (NY). 42(7):1919-28, 2017
                                                                                          13. Dhyani M et al: Aorta-lesion-attenuation-difference (ALAD) on contrast-enhanced CT: a potential imaging biomarker for differentiating malignant from benign oncocytic neoplasms. Abdom Radiol (NY). 42(6):1734-43, 2017
                                                                                          14. Galmiche C et al: Is Multiparametric MRI useful for differentiating oncocytomas from chromophobe renal cell carcinomas? AJR Am J Roentgenol. 208(2):343-50, 2017
                                                                                          15. Lopes Vendrami C et al: Differentiation of solid renal tumors with multiparametric MR imaging. Radiographics. 37(7):2026-42, 2017
                                                                                          16. Sussman RD et al: Giant renal oncocytoma with classic stellate scar. BMJ Case Rep. 2017, 2017
                                                                                          17. Zhong Y et al: Diffusion-weighted imaging versus contrast-enhanced MR imaging for the differentiation of renal oncocytomas and chromophobe renal cell carcinomas. Eur Radiol. 27(12):4913-22, 2017
                                                                                          18. Ishigami K et al: Characterization of renal cell carcinoma, oncocytoma, and lipid-poor angiomyolipoma by unenhanced, nephrographic, and delayed phase contrast-enhanced computed tomography. Clin Imaging. 39(1):76-84, 2015
                                                                                          19. Sasaguri K et al: Small (< 4 cm) renal mass: differentiation of oncocytoma from renal cell carcinoma on biphasic contrast-enhanced CT. AJR Am J Roentgenol. 205(5):999-1007, 2015
                                                                                          20. Woo S et al: Imaging findings of common benign renal tumors in the era of small renal masses: differential diagnosis from small renal cell carcinoma: current status and future perspectives. Korean J Radiol. 16(1):99-113, 2015
                                                                                          21. Cornelis F et al: Routinely performed multiparametric magnetic resonance imaging helps to differentiate common subtypes of renal tumours. Eur Radiol. 24(5):1068-80, 2014
                                                                                          22. Davarpanah AH et al: MR imaging of the kidneys and adrenal glands. Radiol Clin North Am. 52(4):779-98, 2014
                                                                                          23. Ishigami K et al: Imaging spectrum of renal oncocytomas: a pictorial review with pathologic correlation. Insights Imaging. 6(1):53-64, 2014
                                                                                          24. Kang SK et al: Solid renal masses: what the numbers tell us. AJR Am J Roentgenol. 202(6):1196-206, 2014
                                                                                          25. Woo S et al: Comparison of segmental enhancement inversion on biphasic MDCT between small renal oncocytomas and chromophobe renal cell carcinomas. AJR Am J Roentgenol. 201(3):598-604, 2013
                                                                                          26. Bai X et al: Renal cell carcinoma and mimics: pathologic primer for radiologists. AJR Am J Roentgenol. 198(6):1289-93, 2012
                                                                                          27. Taneja R et al: Common and less-common renal masses and masslike conditions. Radiol Clin North Am. 50(2):245-57, v-vi, 2012
                                                                                          28. Gakis G et al: Small renal oncocytomas: differentiation with multiphase CT. Eur J Radiol. 80(2):274-8, 2011
                                                                                          29. Alshumrani G et al: Small (< or = 4 cm) cortical renal tumors: characterization with multidetector CT. Abdom Imaging. 35(4):488-93, 2010
                                                                                          30. Pedrosa I et al: MR imaging of renal masses: correlation with findings at surgery and pathologic analysis. Radiographics. 28(4):985-1003, 2008
                                                                                          31. Tickoo SK et al: Pathologic features of renal cortical tumors. Urol Clin North Am. 35(4):551-61; v, 2008
                                                                                          32. Landau A et al: Adrenocortical oncocytoma: benign or malignant? ANZ J Surg. 74(5):390, 2004
                                                                                          33. Bandhu S et al: Spoke-wheel pattern in renal oncocytoma seen on double-phase helical CT. Australas Radiol. 47(3):298-301, 2003
                                                                                          34. Katz DS et al: Renal oncocytomatosis. Am J Kidney Dis. 27(4):579-82, 1996