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"ONCOCYTOMA"

“ Benign tumour derived from epithelial cells—it is rare. Mostly asymptomatic. Difficult to differentiate from RCC based on imaging alone, s...

Benign tumour derived from epithelial cells—it is rare. Mostly asymptomatic. Difficult to differentiate from RCC based on imaging alone, so it is often excised.
US

•  Mass with or without echogenic central scar.
•  Vascularity tends to radiate out from the centre like spokes on a wheel.
•  Usually >5 cm

CT

•  Poorly enhancing compared to adjacent renal parenchyma.
•  Central, lower-density scar seen in up to a third of cases (could also be necrosis in a RCC).

Cant diffrentiate from RCC by biopsy