ArticleJournal of ultrasound2026
Contrast-enhanced ultrasound of renal collecting duct carcinoma: first report of quantitative microvascular characterization with pathologic correlation.
Article in Journal of ultrasound, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesTo characterize the contrast-enhanced ultrasound (CEUS) features of collecting duct carcinoma (CDC) with quantitative hemodynamic analysis.
methodsA 28-year-old male with painless hematuria underwent CEUS (SonoVue
resultsCEUS revealed: (1) Heterogeneous arterial enhancement (10 s): Central hyperenhancement (peak SI 37.5%) with peripheral hypoenhancement. (2) Aggressive kinetics: TTP 30 s, wash-out onset 35 s. (3)Absent pseudocapsule sign. Pathology confirmed CDC (Vimentin + /34βE12 + /CK7-/CD10-).
conclusionThis first comprehensive CEUS analysis of CDC demonstrates its unique microvascular phenotype-characterized by abnormal perfusion kinetics and absent pseudocapsule sign correlating with histologic aggressiveness. CEUS enhances CDC diagnosis when combined with immunohistochemistry. ADVANCES IN KNOWLEDGE: This study provides the first quantitative CEUS hemodynamic profile of CDC, identifying a diagnostic triad of heterogeneous enhancement, absent pseudocapsule, and "fast-in-fast-out" kinetics correlating with histologic aggressiveness. We demonstrate that integrating CEUS microvascular phenotyping with immunohistochemistry enhances diagnostic precision for this rare malignancy.
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