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肾转移瘤的CT诊断特征
引用本文:张卫东,黄子林,吴沛宏. 肾转移瘤的CT诊断特征[J]. 医学争鸣, 2009, 0(18): 1778-1780
作者姓名:张卫东  黄子林  吴沛宏
作者单位:中山大学附属肿瘤医院影像介入中心;
摘    要:
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.

关 键 词:转移瘤    体层摄影术  X线计算机  诊断

CT diagnosis features of renal metastases
ZHANG Wei-Dong,HUANG Zi-Lin,WU Pei-Hong State Key Laboratory of Oncology in South China,Imaging , Interventional Center,Cancer Center,Sun Yat-sen University,Guangzhou ,China. CT diagnosis features of renal metastases[J]. Negative, 2009, 0(18): 1778-1780
Authors:ZHANG Wei-Dong  HUANG Zi-Lin  WU Pei-Hong State Key Laboratory of Oncology in South China  Imaging    Interventional Center  Cancer Center  Sun Yat-sen University  Guangzhou   China
Affiliation:ZHANG Wei-Dong,HUANG Zi-Lin,WU Pei-Hong State Key Laboratory of Oncology in South China,Imaging and Interventional Center,Cancer Center,Sun Yat-sen University,Guangzhou 510060,China
Abstract:
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 d...
Keywords:metastases  renal  tomography  X-ray computed  diagnosis  
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