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Renal Oncocytoma
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. 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
                                              2. 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
                                              3. 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
                                              4. Davarpanah AH et al: MR imaging of the kidneys and adrenal glands. Radiol Clin North Am. 52(4):779-98, 2014
                                              5. Ishigami K et al: Imaging spectrum of renal oncocytomas: a pictorial review with pathologic correlation. Insights Imaging. ePub, 2014
                                              6. Kang SK et al: Solid renal masses: what the numbers tell us. AJR Am J Roentgenol. 202(6):1196-206, 2014
                                              7. 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
                                              8. Bai X et al: Renal cell carcinoma and mimics: pathologic primer for radiologists. AJR Am J Roentgenol. 198(6):1289-93, 2012
                                              9. Taneja R et al: Common and less-common renal masses and masslike conditions. Radiol Clin North Am. 50(2):245-57, v-vi, 2012
                                              10. Gakis G et al: Small renal oncocytomas: differentiation with multiphase CT. Eur J Radiol. 80(2):274-8, 2011
                                              11. Alshumrani G et al: Small (< or = 4 cm) cortical renal tumors: characterization with multidetector CT. Abdom Imaging. 35(4):488-93, 2010
                                              12. Pedrosa I et al: MR imaging of renal masses: correlation with findings at surgery and pathologic analysis. Radiographics. 28(4):985-1003, 2008
                                              13. Tickoo SK et al: Pathologic features of renal cortical tumors. Urol Clin North Am. 35(4):551-61; v, 2008
                                              14. Landau A et al: Adrenocortical oncocytoma: benign or malignant? ANZ J Surg. 74(5):390, 2004
                                              15. Bandhu S et al: Spoke-wheel pattern in renal oncocytoma seen on double-phase helical CT. Australas Radiol. 47(3):298-301, 2003
                                              16. 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. 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
                                                                                          2. 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
                                                                                          3. 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
                                                                                          4. Davarpanah AH et al: MR imaging of the kidneys and adrenal glands. Radiol Clin North Am. 52(4):779-98, 2014
                                                                                          5. Ishigami K et al: Imaging spectrum of renal oncocytomas: a pictorial review with pathologic correlation. Insights Imaging. ePub, 2014
                                                                                          6. Kang SK et al: Solid renal masses: what the numbers tell us. AJR Am J Roentgenol. 202(6):1196-206, 2014
                                                                                          7. 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
                                                                                          8. Bai X et al: Renal cell carcinoma and mimics: pathologic primer for radiologists. AJR Am J Roentgenol. 198(6):1289-93, 2012
                                                                                          9. Taneja R et al: Common and less-common renal masses and masslike conditions. Radiol Clin North Am. 50(2):245-57, v-vi, 2012
                                                                                          10. Gakis G et al: Small renal oncocytomas: differentiation with multiphase CT. Eur J Radiol. 80(2):274-8, 2011
                                                                                          11. Alshumrani G et al: Small (< or = 4 cm) cortical renal tumors: characterization with multidetector CT. Abdom Imaging. 35(4):488-93, 2010
                                                                                          12. Pedrosa I et al: MR imaging of renal masses: correlation with findings at surgery and pathologic analysis. Radiographics. 28(4):985-1003, 2008
                                                                                          13. Tickoo SK et al: Pathologic features of renal cortical tumors. Urol Clin North Am. 35(4):551-61; v, 2008
                                                                                          14. Landau A et al: Adrenocortical oncocytoma: benign or malignant? ANZ J Surg. 74(5):390, 2004
                                                                                          15. Bandhu S et al: Spoke-wheel pattern in renal oncocytoma seen on double-phase helical CT. Australas Radiol. 47(3):298-301, 2003
                                                                                          16. Katz DS et al: Renal oncocytomatosis. Am J Kidney Dis. 27(4):579-82, 1996