CAJ | 학술논문

目的：通过分析肾细胞癌的双源多层螺旋 CT 征象与病理之间的关系，探讨双源多层螺旋 CT 对肾细胞癌的诊断价值。方法回顾性分析经手术病理证实的129例肾细胞癌患者的 CT 表现，依据2004年最新 WHO 病理分型，将 CT 征象与手术病理进行对照分析。结果肾癌细胞排列方式与增强效果之间存在相关性；肿瘤周边的短毛刺征与病理中肾包膜有无侵犯呈正相关；肾细胞癌 CT 的 Robson 分期与病理分期具有很好的一致性(Kappa=0.75)。结论肾细胞癌的 CT 征象与病理类型和肿瘤内部结构有关，双源多层螺旋 CT 对肾细胞癌的诊断有重要临床价值。
목적：통과분석신세포암적쌍원다층라선 CT 정상여병리지간적관계，탐토쌍원다층라선 CT 대신세포암적진단개치。방법회고성분석경수술병리증실적129례신세포암환자적 CT 표현，의거2004년최신 WHO 병리분형，장 CT 정상여수술병리진행대조분석。결과신암세포배렬방식여증강효과지간존재상관성；종류주변적단모자정여병리중신포막유무침범정정상관；신세포암 CT 적 Robson 분기여병리분기구유흔호적일치성(Kappa=0.75)。결론신세포암적 CT 정상여병리류형화종류내부결구유관，쌍원다층라선 CT 대신세포암적진단유중요림상개치。
Objective To analyze relationship between dual-source MDCT and pathology in renal cell carcinoma.Methods 129 patients with pathology were proved renal cell in our hospital from 2009 to 2012.According to the latest 2004 WHO pathological classification,CT features of renal carcinoma were compared with surgical and pathological results.Results The enhancement de-gree of lesions on contrast CT was correlated to the modal of renal malignant cells’ranking.There was no certain correlation be-tween integrity on the edge of the tumor in CT and pathological tumor capsular.The short-hair sign surrounding the margin of tumor strongly indicated renal capsule invasion (P <0.01).Agreement between CT-Robson staging and surgical-pathologic staging was good(Kappa=0.75).Conclusion The CT finding of renal cell carcinoma is correlated with tumor cell characteristic and inter-nal structure.Dual-source MDCT has important clinical value in the diagnosis of renal cell carcinoma.