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少脂肪肾血管平滑肌脂肪瘤的CT诊断
引用本文:李惠章,李威,方芳,王蕊,杨正汉,于经瀛,周诚. 少脂肪肾血管平滑肌脂肪瘤的CT诊断[J]. 临床放射学杂志, 2007, 26(5): 469-471
作者姓名:李惠章  李威  方芳  王蕊  杨正汉  于经瀛  周诚
作者单位:100730,卫生部北京医院放射科;100730,卫生部北京医院病理科
摘    要:
目的探讨少脂肪肾血管平滑肌脂肪瘤(AML)的CT表现特点,提高术前CT诊断水平。资料与方法回顾性分析6例少脂肪肾AML的CT表现,并与手术病理标本对照。结果6例均表现为实性肿块,5例CT增强各期均发现散在点状低密度影,尤以薄层静脉期显示最清晰。大体标本及镜下均见散在小结节状脂肪组织。结论散在点状低密度影在一定程度上反映了少脂肪肾AML中脂肪成分,有助于少脂肪肾AML的定性诊断。

关 键 词:肾肿瘤  肾错构瘤  体层摄影术  X线计算机  病理学
修稿时间:2006-03-092006-07-31

CT Diagnosis of Minimal Fat Renal Angiomyolipoma
LI Huizhang, LI Wei, FANG Fang,et al.. CT Diagnosis of Minimal Fat Renal Angiomyolipoma[J]. Journal of Clinical Radiology, 2007, 26(5): 469-471
Authors:LI Huizhang   LI Wei   FANG Fang  et al.
Affiliation:Department of Radiology, Beijing Hospital, Beijing 100730, P. R. China
Abstract:
Objective To discuss the CT appearances of minimal fat angiomyolipoma (AML) and improve its diagnostic accuracy. Materials and Methods The CT findings of 6 patients with the minimal fat AML were analyzed and also compared with pathology results. Results 6 patients showed renal masses, scatter spot hypodensity was found in enhanced CT, which was more obviously in thin slice venous phase. Scatter spot hypodensity corresponded to small nodular fat tissues by pathology. Conclusion To some extent, scatter spot hypodensity lesions reflect the fat in tumors, which is helpful for diagnosis of minimal fat renal angiomyolipoma.
Keywords:Kidney neoplasms Hamartoma Tomography   X-ray computed Pathology
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