CAJ | 학술논문

目的：探讨多层螺旋CT在诊断肾上皮样血管平滑肌脂肪瘤中的应用价值。方法回顾性分析我院2005年7月到2014年3月经术后病理证实的5例肾上皮样血管平滑肌脂肪瘤患者的CT资料，并分析其CT特点。结果5例患者中男性2例，女性3例；1例患者病灶为两个，其余4例为单发；其中2例误诊为肾癌。6个病灶的肾皮质期表现为均匀或不均匀强化，肾实质期肿瘤强化程度不一，可表现为明显减退、轻度减退及持续强化。结论肾上皮样血管平滑肌脂肪瘤可含有脂肪成分，也可不含脂肪成分；CT表现在与其他疾病鉴别诊断方面具有一定的价值。
목적：탐토다층라선CT재진단신상피양혈관평활기지방류중적응용개치。방법회고성분석아원2005년7월도2014년3월경술후병리증실적5례신상피양혈관평활기지방류환자적CT자료，병분석기CT특점。결과5례환자중남성2례，녀성3례；1례환자병조위량개，기여4례위단발；기중2례오진위신암。6개병조적신피질기표현위균균혹불균균강화，신실질기종류강화정도불일，가표현위명현감퇴、경도감퇴급지속강화。결론신상피양혈관평활기지방류가함유지방성분，야가불함지방성분；CT표현재여기타질병감별진단방면구유일정적개치。
Objective To investigate the value of multislice helical CT scan in diagnosis of renal epithelioid angiomyolipoma (EAML).Methods The CT data of 5 cases of renal epithelioid angiomyolipoma which confirmed by pathematology from July 2005 to March 2014 were retrospectively analysis.Results Two males and three females in the 5 patients; 1 case of them were double lesions, and the other were solitary. Two cases of 5 misdiagnosed as renal cell carcinoma. Six lesions showed homogeneous or heterogeneous enhancement in renal cortex. And in the renal parenchymal, the enhancement was diversification.Conclusion Renal epithelioid angiomyolipoma may contain fat content, or not. CT features of renal epithelioid angiomyolipoma is useful in differential diagnosis with other kidney diseases.