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肾转移瘤的CT诊断特征

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目的:探讨肾转移瘤的CT诊断特征. 方法:回顾性分析12例肾转移瘤及12例原发性肾癌的CT表现. 结果:12例肾转移瘤共检出42个病灶,4例单发,8例为双侧、多灶性;9个病灶位于肾髓质内呈楔形,33个病灶累及肾皮髓质、呈类圆形;41个病灶平扫呈等密度,所有病灶增强后均呈轻度强化,均未见包膜;8个病灶引起肾轮廓改变;7例肾转移瘤同时伴有其它部位及脏器的转移.12例肾原发癌均为单发,同时累及肾皮髓质,呈类圆形或不规则形;10例病灶平扫呈等、低密度;1例增强后轻度强化,11例增强后呈中、重度不均匀强化,3例可见假包膜;10例引起肾轮廓改变;2例伴有肾静脉癌栓,1例伴有肾周淋巴结转移. 结论:肾转移瘤具有典型的影像学特点,了解这一特点有助于肾转移瘤的诊断.
CT diagnosis features of renal metastases
AIM: To investigate CT features in diagnosing renal metastases. METHODS: The CT findings of 12 cases of renal metastases and 12 cases of renal cancers were analyzed retrospectively. RESULTS: There were 42 lesions among of 12 cases of renal metastases. Four cases were solitaries, while eight cases were multifocal and bilateral. Nine cases located in the renal medulla and demonstrated wedge-shaped, while thirty-three lesions infiltrated renal cortex and medulla meanwhile and demonstrated rounded. Forty-one lesions demonstrated hypo-density on un-enhanced images. Forty-two lesions all demonstrated less enhancement. Eight lesions were exophytic. Seven cases of renal metastases were accompanied with metastases of other organs and tissues. All 12 cases of renal cancers were rounded, irregular solitaries lesions, and infiltrated renal cortex and medulla. Ten cases were hypo- and iso-density on un-enhanced images; and 11 cases demonstrated middle or intensive enhancement. Three cases demonstrated pseudo-capsules. Ten cases were exophytic. Two cases were accompanied with carcinomatous embolus of renal veins, and one with perirenal lymph node metastasis. CONCLUSION: Renal metastases usually demonstrated typical radiological findings. Familaring with these findings is helpful to diagnosis of renal metastasis.

metastasesrenaltomographyX-ray computeddiagnosis

张卫东、黄子林、吴沛宏

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中山大学附属肿瘤医院影像介入中心,广东,广州,510060

转移瘤 体层摄影术 X线计算机 诊断

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(18)
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