Open AccessPreoperative Diagnosis of Juxtaglomerular Cell Tumors in Eight Patients
Author(s) -
Kang Suhai,
Chen Fang,
Zhong Yan,
Han Baiyu,
Cheng Guanghe,
Guo Aitao,
Tian Yuan,
Tong Xinyuan,
Dou Jingtao,
Ye Huiyi
Publication year - 2016
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12810
Subject(s) - medicine , juxtaglomerular apparatus , general surgery , radiology , renin–angiotensin system , blood pressure
The aim of this study was to improve the diagnostic efficiency for juxtaglomerular cell tumors ( JCT s) and to determine whether clinical and magnetic resonance imaging features can help to differentiate JCT s from clear cell renal cell carcinoma (cc RCC ). The clinical features of eight patients with JCT s and 27 patients with cc RCC s were analyzed. A flow diagram for young people with hypertension was applied to facilitate the diagnosis. Clinical presentations were analyzed, including age, hypertension, and hypokalemia. The results of our study produced a flow diagram that narrowed the scope of diagnosis. The statistical results demonstrated that patients with a renal mass aged 14 to 30 years, had grade 3 hypertension, or had moderate hypokalemia had a greater possibility of having a JCT than a cc RCC ( P <.0000, P <.01, P <.0005, respectively). In addition, the flow diagram and magnetic resonance imaging features were useful to distinguish JCT s from other renal tumors.