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囊性肾癌的CT诊断与鉴别诊断

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目的:探讨囊性肾癌的CT表现,以提高对囊性肾癌的认识和诊断符合率。方法回顾性分析16例经手术病理证实为囊性肾癌患者的CT影像学表现特点,16例均行CT平扫和增强扫描,6例同时行多平面重建。结果16例囊性肾癌均单发,位于左肾13例,右肾3例;多囊者11例,其内可见粗细不均分隔,单囊者5例;囊液密度不均匀15例;10例囊壁不均伴有壁结节;增强后囊壁和(或)分隔及结节呈不同程度的强化;2例病灶伴有钙化。结论囊性肾癌的CT主要表现为具有厚薄不均的囊壁和(或)粗细不均分隔、伴有囊壁结节及钙化的囊性病变,有一定特征性,具有重要的诊断价值。
CT Diagnosis and Distinguish of Cystic Renal Cel Carcinoma
Objective To discuss the features of cystic renal cellcarcinoma(CRCC),and to evaluate its clinical value. Methods This study included sixteen patients’s CT imaging features,who were proved pathological y to be CRCC after nephrectomy. Results Al cases were single,The tumor was located in left kidney in 13cases and right kidney in 3 cases;The cystic carcinoma showed multiple cystic cavities in 11 cases with irregular thickening septum,and single cystic cavity in 5 cases;Uneven density in the cavity in 15cases;unevencysticwal and mural nodule were found in10 cases;The solid part of the tumor in al the 10 cases was enhanced mode rately or strongly . Various degrees of cystic wal and/or septum and mural nodule enhanement were detected after intravenous administration 0f contrast material. Calcification were found in 2 cases. Conclusion Cystic renal carcinoma has certainCT characteristics,performance for the cystic lesion with unevencysticwal and /or irregular thickening septum、mural nodule and Calcification.CT can play an important role in diagnosis.

renal carcinomacysticTomographyX-ray computed

虞晓丽、王永仁

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义乌市中医医院 322000

肾脏肿瘤 囊性 体层摄影术 x线计算机

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(2)
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