CAJ | 학술논문

目的：提高囊性肾癌CT、MRI诊断水平。方法：分析8例经手术病理证实的囊性肾癌的CT、MRI平扫及增强影像资料。结果：囊性肾癌的影像学表现的主要表现为囊壁厚、可有不规则分隔，可有壁结节、不规则钙化，边缘不清晰或清晰，囊性占位性病变血供不丰富，增强扫描后强化不明显，囊壁、壁结节及分隔可见轻中度强化。MRI检查T1WI呈等稍低信号，T2WI像呈稍高信号，囊壁及分隔部分显示清晰。结论：囊性肾癌有一定的影像表现特征，对不典型者建议穿刺活检。
목적：제고낭성신암CT、MRI진단수평。방법：분석8례경수술병리증실적낭성신암적CT、MRI평소급증강영상자료。결과：낭성신암적영상학표현적주요표현위낭벽후、가유불규칙분격，가유벽결절、불규칙개화，변연불청석혹청석，낭성점위성병변혈공불봉부，증강소묘후강화불명현，낭벽、벽결절급분격가견경중도강화。MRI검사T1WI정등초저신호，T2WI상정초고신호，낭벽급분격부분현시청석。결론：낭성신암유일정적영상표현특정，대불전형자건의천자활검。
Objective:To improve the level of diagnosis of cystic renal carcinoma with CT,MRI.Methods:We analyzed the image data of CT,MRI scan and enhanced scan in 8 cases with pathologically proved cystic renal carcinoma.Results:The mainly imaging manifestations were thick wall,or irregularly spaced,mural nodule,irregular calcification,clear or unclear edge,barren supply of blood in cystic lesions,unclear strengthen after enhanced scanning,moderate enhancement in cyst wall,wall nodule and breaks. MRI examination showed slightly low signal in T1WI images,slightly high signal in T2WI images,and showed the cystic wall and septum clearly.Conclusion:Cystic renal carcinoma own some image characteristics,given recommended biopsies for atypical patients.