摘要
目的 提高一侧肾脏囊肿和肿瘤共存的诊断水平。 方法 回顾性分析经外科手术及病理证实的 10例单侧肾癌和囊肿共存的患者影像学结果。 结果 分泌性尿路造影显示囊性占位。 B型超声波提示增厚及不规则的囊性肿物。 CT扫描示病灶不规则增厚 ,部分有壁结节、增厚分隔及钙化 ,实质部分有明显的早期强化。有的类似单纯囊肿 ,但至少一层能显示肿瘤密度影。 结论 囊壁分隔及不规则增厚、壁结节和实质早期强化是
Objective To improve the diagnosis of concomitance of carcinoma and cyst in the same kidney. Methods A retrospective review of the imaging results of 10 patients with cystic renal cancers confirmed by surgery and pathologic study. Results Excretory urography showed an avascular mass suggestive of a cyst. Ultrasonography revealed a cystic mass with thinkened and irregular walls,but it was unable to distinguish between a complicated and an extensively necrotic cancer.On CT scans,irregular cystic wall and definite early enhancement in solid component were observed.In some of the patients,there were mural nodules,septum and calcification. Some scans may show an almost cystic appearance,but one or more CT scans always showed some dense neoplastic tissue. Conclusions Irregular and thickened cystic wall and septum,mural nodules and early enhancement of solid component were the characteristic findings for the CT diagnosis.
出处
《空军总医院学报》
2000年第4期220-221,F004,共3页
Journal of General Hospital of Air Force,PLA
