The Value of Color Duplex Ultrasonography in the Assessment of Solid Renal Mass Lesions: A Prospective Study.
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Aim of the Study: To assess the vascularity of the renal masses and differentiation between benign and malignant lesion using colour Duplex ultrasound.Patients and Methods: 105 patients with suspected renal masses had been included in this study and were examined by colour Duplex ultrasonography. The findings were correlated with either ultrasonography guided renal biopsy or surgical excised assessed mass. Results: 49/105 patients were proved to be benign, while 56/105 were malignant. The US morphological appearance of malignancy was found in 40/56 (71.4%) with similar incidence in peak systolic shift using cut-off at 2.5 KHz. However. using the complementary effect of both morphologic and doppler findings could detect accurately 44/56 (78.5%) of malignant masses with high specificity Conclusion: Doppler ultrasonography is a useful tool to assess the nature of an solid renal masses.