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Imaging of Kidney Cancer pp 337–349Cite as

Lymphoproliferative Neoplasms

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

19.9 Conclusion

Renal involvement in myeloproliferative and lymphoproliferative disorders is generally not routinely imaged, as in most instances they are asymptomatic owing to preserved renal function. Symptoms arise as a result of compression, renal obstruction, infection, or hemorrhage. Ultrasound and CT remain the imaging modalities of choice due to their availability, relatively short scan times, and reduced costs compared with MR imaging. Computed tomography in particular is extremely good at depicting renal, perirenal, and intra-abdominal pathology. However, nuclear medicine imaging, particularly PET, is proving useful in post-treatment monitoring of disease activity. Although there are no specific imaging features that differentiate these entities from other disease processes that can affect the kidney, in general, leukemia and lymphoma are iso- or hypoechoic on US, and iso- or hypodense on CT. Lymphomas are hypovascular, showing minimal or no enhancement after contrast administration on CT. Extramedullary plasmacytomas are hetero-geneous on US, isodense on CT, and demonstrate heterogeneous enhancement.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Queen Mary Hospital, University of Hong Kong, Room 405, Block K, Pokfulam Road, Hong Kong SAR, China

    Clara G. C. Ooi MD (Associate Professor and Honorary Consultant)

  2. Oncology Services, Department of Radiology Services, Synarc Inc., 575 Market Street, 17th Floor, San Francisco, CA, 94105, USA

    Ali Guermazi MD (Senior Radiologist, Scientific Director)

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  1. Clara G. C. Ooi MD
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  1. Oncology Services Department of Radiology Services, Synarc Inc., 575 Market Street, 17th Floor, San Francisco, CA, 94105, USA

    Ali Guermazi MD (Senior Radiologist, Scientific Director) (Senior Radiologist, Scientific Director)

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Ooi, C.G.C., Guermazi, A. (2006). Lymphoproliferative Neoplasms. In: Guermazi, A. (eds) Imaging of Kidney Cancer. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30003-1_19

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  • DOI: https://doi.org/10.1007/3-540-30003-1_19

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