MDCT imaging following nephrectomy for renal cell carcinoma: Protocol optimization and patterns of tumor recurrence

Table 1 Categorization of Disease Recurrence

Anatomic Category	Location
Chest and Mediastinum	Lung
	Lymph Nodes
	Thyroid
Abdomen and Pelvis	Liver
	Nephrectomy Site
	Contralateral Kidney
	Adrenal Gland
	Pancreas
	Spleen
	Stomach
	Intestine
	Ovary
Musculoskeletal	Bone
	Muscle
	Breast
Neurological	Brain
	Spine

Table 2 Most common locations of recurrence and their incidence after nephrectomy

Location	Incidence of Recurrence after Nephrectomy
Lung	38%-71%[3]
Lymph nodes	12%-63% (total within chest, abdomen, and pelvis)[3]
Liver	7%-23%[2]
Nephrectomy site	10%[2,8]
Contralateral kidney	1.2%-10%[3,9]
Adrenal gland	7%-10%[3]
Bone	18%-37%[3]
Brain	2%-15%[3,4]