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肾癌的螺旋CT双期扫描及CT分期
引用本文:刘玉启,张伟,晁宝婷,曲善记. 肾癌的螺旋CT双期扫描及CT分期[J]. 医学影像学杂志, 2004, 14(5): 392-394
作者姓名:刘玉启  张伟  晁宝婷  曲善记
作者单位:1. 山东省枣庄市峄城区中医院,山东,枣庄,277300
2. 山东省泰山医学院,山东,泰安,271000
3. 山东省烟台市烟台山医院,山东,烟台,264001
摘    要:
目的:探讨肾癌的螺旋CT双期扫描表现及CT分期的价值。方法:对36例手术病理证实的肾癌患者CT双期扫描图像进行分析。结果:CT平扫等密度者17例,低密度者15例,高密度者4例;增强扫描动脉期呈均质强化者7例,不均质强化者29例;高强化者27例,弱强化者9例;实质期肾静脉癌栓者10例(占28%),下腔静脉癌栓者3例,淋巴结转移者6例。结论:螺旋CT双期扫描可对肾癌做出明确诊断,CT分期对指导治疗方案有较大价值。

关 键 词:肾细胞癌 肾癌分期 癌栓 体层摄影术 X线计算机 双期扫描
文章编号:1006-9011(2004)05-0392-03
修稿时间:2003-05-10

Dual-phase helical CT of renal cell carcinoma(RCC):CT findings and staging
LIU Yu-qi,ZHANG Wei,CHAO Bao-ting,et al.. Dual-phase helical CT of renal cell carcinoma(RCC):CT findings and staging[J]. Journal of Medical Imaging, 2004, 14(5): 392-394
Authors:LIU Yu-qi  ZHANG Wei  CHAO Bao-ting  et al.
Affiliation:LIU Yu-qi,ZHANG Wei,CHAO Bao-ting,et al.Yicheng Hospital of Zaozhuang,Shandong 277300,China
Abstract:
Objective:To investigate the characteristic appearances of RCC in dual-phase helical CT study and the value of CT staging.Methods:Dual-phase helical CT findings in 36 cases with RCC proved by surgical and pathological specimens were analyzed retrospectively.Results:On the precontrast scan, RCC appears isodense in 17 cases, hypodense in 15 cases, hyperdense in 4 cases;on postcontrast scan,there are homogeneous enhancement of mass in 7 cases,heterogeneous in 29 cases,marked enhancement in 27 cases,slight enhancement in 9 cases;on the nephrographic scan,carcinomatous embolus of the renal vein were seen in 10 cases,carcinomatous of inferior vena cava in 3 cases,metastasis of lymph node in 6 cases.Conclusion:RCC can be diagnosed depending on the dual-phase helical CT findings.The CT staging of RCC is useful for the therapy.
Keywords:Renal cell carcinomas  Staging of renal cell carcinomas  Carcinomatous embolus  Tomography  X-ray computed  Dual-phase scanning
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