DIAGNOSTIC AND THERAPEUTIC IMPLICATIONS OF THE INCIDENTAL DETECTION OF RENAL MASSES: A LITERATURE REVIEW
DOI:
https://doi.org/10.56238/levv17n60-060Keywords:
Diagnostic Imaging, Kidney Neoplasms, Incidental Findings, Tomography, X-Ray Computed, Magnetic Resonance ImagingAbstract
INTRODUCTION: Considering the progressive increase in the incidental detection of renal masses due to the widespread use of abdominal imaging exams for the investigation of nonspecific complaints, a significant shift in the presentation profile of renal neoplasms has been observed, with greater identification of asymptomatic lesions at early stages. This study aims to analyze the diagnostic implications of the incidental identification of these masses and to discuss their influence on defining the clinical approach. METHODOLOGY: A literature review was conducted using the PubMed, Scielo, and Google Scholar databases, applying descriptors related to the topic and previously established inclusion criteria. RESULTS AND DISCUSSION: An expressive proportion of renal carcinomas is diagnosed incidentally, expanding the possibilities for conservative interventions and nephron-sparing surgeries. Furthermore, contemporary diagnosis relies predominantly on imaging methods, which are essential for lesion characterization and differentiation between benign and malignant processes. However, incidental detection may also include indolent tumors and benign lesions, requiring careful evaluation to avoid excessive therapeutic interventions. CONCLUSION: The incidental identification of renal masses has relevant diagnostic and therapeutic implications, making the proper interpretation of radiological findings essential to guide individualized and rational clinical management.
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