国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2010年
7期
806-808
,共3页
肾脏肿瘤%鉴别诊断%CT
腎髒腫瘤%鑒彆診斷%CT
신장종류%감별진단%CT
Kidney tumor%Differential diagnosis%CT
目的 探讨肾脏集合管癌的CT特征,以提高对该病诊断的正确性.方法 回顾性分析5例经病理证实肾脏集合管的临床资料并复习相关文献.结果 5例患者均有肉眼血尿及腰痛病史,2例肿瘤位于右肾体部,2例位于左肾上极,1例位于右肾下极,5例均有肾周脂肪囊受侵犯,境界不清,侵袭性生长,CT增强扫描病变呈中等不均匀强化.结论 肾脏集合管癌临床症状明显,以肉眼血尿、腰痛为主,结合临床,CT检查可作出初步诊断,但最终诊断还需病理组织学和免疫组化检查.
目的 探討腎髒集閤管癌的CT特徵,以提高對該病診斷的正確性.方法 迴顧性分析5例經病理證實腎髒集閤管的臨床資料併複習相關文獻.結果 5例患者均有肉眼血尿及腰痛病史,2例腫瘤位于右腎體部,2例位于左腎上極,1例位于右腎下極,5例均有腎週脂肪囊受侵犯,境界不清,侵襲性生長,CT增彊掃描病變呈中等不均勻彊化.結論 腎髒集閤管癌臨床癥狀明顯,以肉眼血尿、腰痛為主,結閤臨床,CT檢查可作齣初步診斷,但最終診斷還需病理組織學和免疫組化檢查.
목적 탐토신장집합관암적CT특정,이제고대해병진단적정학성.방법 회고성분석5례경병리증실신장집합관적림상자료병복습상관문헌.결과 5례환자균유육안혈뇨급요통병사,2례종류위우우신체부,2례위우좌신상겁,1례위우우신하겁,5례균유신주지방낭수침범,경계불청,침습성생장,CT증강소묘병변정중등불균균강화.결론 신장집합관암림상증상명현,이육안혈뇨、요통위주,결합림상,CT검사가작출초보진단,단최종진단환수병리조직학화면역조화검사.
Objective Of renal collecting duct earcinoma of the CT features,in order to improve disease diagnosis.Methods Retrospective analysis of five cases of collecting duct carcinoma of the clinical data and review the literature.Results 5 cases of patients had a history of gross hematuria and flank pain,2cases of tumors located in the body of the right kidney,2 cases in the upper pole of left kidney,1 case in the lower pole of right kidney,5 cases were perirenal fat capsule are violated,state unclear,invasive growth,CT enhanced scan showed moderate heterogeneous enhanced lesions.Conclusion clinical symptoms of kidney collecting duct carcinoma with gross hematuria,obviously,lumbago,clinical,CT can make preliminary diagnosis.Diagnosis should mainly rely on the pathological and histological and immunohistochemical inspeetion.
