Medical Student, 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:
J Prim Health Care. 2021 Dec;13(4):370-372. doi: 10.1071/HC21114.
INTRODUCTION In 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 HISTORY Here, 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. CONCLUSION This 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.
简介 2013 年，美国预防服务工作组建议有大量吸烟史的高危成年人每年进行一次低剂量计算机断层扫描（CT）肺癌筛查。这些筛查会发现大量的偶然发现，尽管其中大多数不需要进一步调查，但已有报道称，在 CT 筛查中偶然发现的偶然发现导致以前未诊断出的合并症得到成功治疗。 病例报告 在这里，我们报告了一例偶发性乳头状肾细胞癌，该病例是在无症状个体的低剂量 CT 中偶然发现的，考虑到肾肿瘤在这些筛查中的偶然发现中占不到 1%，这是一种罕见的诊断。 结论 本病例强调了调查这些偶然发现的价值，目的是在某些情况下在出现症状之前发现潜在疾病。
