Incidental finding of renal cell carcinoma in an asymptomatic patient on low-dose computed tomography screening for lung cancer

ABSTRACT INTRODUCTIONIn 2013, the United States Preventive Services Task Force recommended annual low-dose computed tomography (CT) screening for lung cancer in high-risk adults with a significant smoking history. These screenings result in large numbers of incidental findings, and although most of...

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Main Authors: Mark Schauer, Michael Baumgartner, Laura D. Bauler, Steven Jones
Format: Article
Language:English
Published: CSIRO Publishing 2021-01-01
Series:Journal of Primary Health Care
Subjects:
Online Access:https://www.publish.csiro.au/hc/pdf/HC21114
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author Mark Schauer
Michael Baumgartner
Laura D. Bauler
Steven Jones
author_facet Mark Schauer
Michael Baumgartner
Laura D. Bauler
Steven Jones
author_sort Mark Schauer
collection DOAJ
description ABSTRACT INTRODUCTIONIn 2013, the United States Preventive Services Task Force recommended annual low-dose computed tomography (CT) screening for lung cancer in high-risk adults with a significant smoking history. These screenings result in large numbers of incidental findings, and although most of these do not warrant further investigation, there have been reported cases of incidental findings identified on CT screening that led to successful treatment of a previously undiagnosed comorbidity. CASE HISTORYHere, we report a case of papillary renal cell carcinoma that was detected incidentally on low-dose CT in an asymptomatic individual, a rare diagnosis considering that renal neoplasms account for <1% of incidental findings on these screenings. CONCLUSIONThis case highlights the value of investigating these incidental findings, with the goal of detecting underlying disease in some cases before it would have presented symptomatically.
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spelling doaj.art-495dfc997a62457b868baf53783376f42022-12-22T03:55:00ZengCSIRO PublishingJournal of Primary Health Care1172-61562021-01-01134370372HC21114Incidental finding of renal cell carcinoma in an asymptomatic patient on low-dose computed tomography screening for lung cancerMark Schauer0Michael Baumgartner1Laura D. Bauler2Steven Jones3Department of Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.Department of Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.Department of Biomedical Sciences, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA; and Corresponding author: Email: Laura.bauler@med.wmich.eduMedical Student, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.ABSTRACT INTRODUCTIONIn 2013, the United States Preventive Services Task Force recommended annual low-dose computed tomography (CT) screening for lung cancer in high-risk adults with a significant smoking history. These screenings result in large numbers of incidental findings, and although most of these do not warrant further investigation, there have been reported cases of incidental findings identified on CT screening that led to successful treatment of a previously undiagnosed comorbidity. CASE HISTORYHere, we report a case of papillary renal cell carcinoma that was detected incidentally on low-dose CT in an asymptomatic individual, a rare diagnosis considering that renal neoplasms account for <1% of incidental findings on these screenings. CONCLUSIONThis case highlights the value of investigating these incidental findings, with the goal of detecting underlying disease in some cases before it would have presented symptomatically.https://www.publish.csiro.au/hc/pdf/HC21114Early detection of cancer/methodsincidental findingskidney neoplasmsrenal cell carcinomaquaternary preventionearly detection of cancer/economics
spellingShingle Mark Schauer
Michael Baumgartner
Laura D. Bauler
Steven Jones
Incidental finding of renal cell carcinoma in an asymptomatic patient on low-dose computed tomography screening for lung cancer
Journal of Primary Health Care
Early detection of cancer/methods
incidental findings
kidney neoplasms
renal cell carcinoma
quaternary prevention
early detection of cancer/economics
title Incidental finding of renal cell carcinoma in an asymptomatic patient on low-dose computed tomography screening for lung cancer
title_full Incidental finding of renal cell carcinoma in an asymptomatic patient on low-dose computed tomography screening for lung cancer
title_fullStr Incidental finding of renal cell carcinoma in an asymptomatic patient on low-dose computed tomography screening for lung cancer
title_full_unstemmed Incidental finding of renal cell carcinoma in an asymptomatic patient on low-dose computed tomography screening for lung cancer
title_short Incidental finding of renal cell carcinoma in an asymptomatic patient on low-dose computed tomography screening for lung cancer
title_sort incidental finding of renal cell carcinoma in an asymptomatic patient on low dose computed tomography screening for lung cancer
topic Early detection of cancer/methods
incidental findings
kidney neoplasms
renal cell carcinoma
quaternary prevention
early detection of cancer/economics
url https://www.publish.csiro.au/hc/pdf/HC21114
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