Observations on the growth of renal neoplasms.

Abstract

A retrospective review of the imaging results of 11 patients with 13 solid renal parenchymal neoplasms was performed, allowing analysis of the linear growth rates of these tumors. The study sample included seven pathologically proved renal adenocarcinomas and six lesions that were indicative of a neoplasm radiologically (enhancing parenchymal mass on computed tomographic [CT] scans with documented interval growth), which were followed up for 2-7.8 years. Variable interval tumor growth was demonstrated in every case except one and ranged from 0 to 1.6 cm/y, with an overall mean linear growth rate of approximately 0.5 cm/y. Ten of 11 "small renal neoplasms" (less than or equal to 3.0 cm in diameter) displayed interval growth, with five ultimately measuring greater than 3.0 cm (size range, 3.5-7.0 cm). While the results are preliminary and reflect observations on a very small study sample, it was noted that five of the seven pathologically proved adenocarcinomas appeared homogeneous and well marginated, and all were low-grade, low-stage carcinomas. These grew more slowly and were generally smaller at initial presentation than higher-grade lesions, which demonstrated a more heterogeneous appearance on CT scans.