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Percutaneous Biopsy of Renal Masses: Sensitivity and Negative Predictive Value Stratified by Clinical Setting and Size of Masses

Frank J. Rybicki1, Kirstin M. Shu1, Edmund S. Cibas2, Julia R. Fielding1,3, Eric vanSonnenberg1 and Stuart G. Silverman1

1 Department of Radiology, Brigham and Women's Hospital and Harvard Medical School, 75 Francis St., Boston, MA 02115.
2 Department of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115.
3 Department of Radiology, University of North Carolina at Chapel Hill, 2016 Old Clinic Building, Campus Box 7510, Chapel Hill, NC 27599-7510.



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  		Fig. 1. —Bar chart shows results of percutaneous biopsies of renal masses stratified by size of masses. {square}=true-positive findings, [UNK]=true-negative findings, {blacksquare}=false-negative findings.

 


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  		Fig. 2A. —66-year-old man with history of non-Hodgkin's lymphoma who presented with renal mass. Contrast-enhanced CT scan reveals enhancing 5-cm exophytic mass (arrow) in right kidney.

 


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  		Fig. 2B. Unenhanced CT scan was obtained for planing approach at biopsy.

 


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  		Fig. 2C. Unenhanced CT scan was obtained during biopsy in which 20-gauge needle (arrow) was used; cytopathology revealed renal cell carcinoma.

 

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