Imaging findings of hereditary renal tumors, a review of what the radiologist should know

Eur J Radiol. 2018 Apr:101:8-16. doi: 10.1016/j.ejrad.2018.01.026. Epub 2018 Feb 2.

Abstract

It is estimated that up to 8% of currently diagnosed renal cancers are part of a hereditary syndrome. The radiologist may be the first person to associate a renal tumor presenting during an imaging study to other manifestations of a hereditary syndrome. This diagnosis can have broad implications for the patient but also for other family members. This update reviews the current known associations and emerging mutations of hereditary renal cancers from a radiologist's perspective. Renal manifestations, as well as associated radiological findings and pitfalls are discussed. Additionally, screening and surveillance recommendations are also discussed to aid radiologists in the decision-making process for patient management.

Keywords: Genetic predisposition to disease; Hereditary leiomyomatosis and renal cell cancer; Neoplasms; Renal cell carcinoma; Tuberous sclerosis; von Hippel-Lindau Disease.

Publication types

  • Review

MeSH terms

  • Birt-Hogg-Dube Syndrome / diagnostic imaging
  • Birt-Hogg-Dube Syndrome / genetics
  • Carcinoma, Renal Cell / diagnostic imaging
  • Carcinoma, Renal Cell / genetics*
  • Colorectal Neoplasms, Hereditary Nonpolyposis / diagnostic imaging
  • Colorectal Neoplasms, Hereditary Nonpolyposis / genetics
  • Early Detection of Cancer
  • Genetic Predisposition to Disease / genetics
  • Humans
  • Kidney Neoplasms / diagnostic imaging
  • Kidney Neoplasms / genetics*
  • Leiomyomatosis / diagnostic imaging
  • Leiomyomatosis / genetics
  • Magnetic Resonance Imaging
  • Mutation / genetics
  • Neoplastic Syndromes, Hereditary / diagnostic imaging
  • Neoplastic Syndromes, Hereditary / genetics
  • Skin Neoplasms / diagnostic imaging
  • Skin Neoplasms / genetics
  • Tomography, X-Ray Computed
  • Tuberous Sclerosis / diagnostic imaging
  • Tuberous Sclerosis / genetics
  • Uterine Neoplasms / diagnostic imaging
  • Uterine Neoplasms / genetics
  • von Hippel-Lindau Disease / diagnostic imaging
  • von Hippel-Lindau Disease / genetics

Supplementary concepts

  • Hereditary leiomyomatosis and renal cell cancer