[1]彭令荣,孟占鳌,刘卫敏,等.多层螺旋CT 鉴别肾嗜酸细胞腺瘤和嫌色细胞癌的价值[J].中华腔镜泌尿外科杂志(电子版),2016,10(06):388-392.[doi:10.3877/cma.j.issn.1674-3253.2016.06.005]
 Peng Lingrong,Meng Zhanao,Liu Weimin,et al.Diagnostic value of multi-slice spiral CT in renal oncocytoma and chomophobe renal cell carcinoma[J].,2016,10(06):388-392.[doi:10.3877/cma.j.issn.1674-3253.2016.06.005]
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多层螺旋CT 鉴别肾嗜酸细胞腺瘤和嫌色细胞癌的价值()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
10
期数:
2016年06期
页码:
388-392
栏目:
出版日期:
2016-12-31

文章信息/Info

Title:
Diagnostic value of multi-slice spiral CT in renal oncocytoma and chomophobe renal cell carcinoma
作者:
彭令荣孟占鳌刘卫敏康庄邹艳
510630广州,中山大学附属第三医院放射科
Author(s):
Peng Lingrong Meng Zhan’ao Liu Weimin Kang Zhuang Zou Yan.
Department of Radiology, the ThirdAffiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
肾脏肿瘤 CT诊断
DOI:
10.3877/cma.j.issn.1674-3253.2016.06.005
摘要:
目的初步探讨肾嗜酸细胞腺瘤( RO)和嫌色细胞癌( CCRC)的多层螺旋 CT影像学特征的鉴别诊断价值。方法回顾性分析 2003年 6月至 2015年 12月我院经手术病理证实的 9例肾嗜酸细胞腺瘤和 12例嫌色细胞癌的患者资料,术前全部行螺旋 CT平扫及三期动态增强,并分析其影像学特征。结果 3例( 33.3%)RO病灶可见钙化,而 1例( 8.3%)CCRC病灶可见钙化,它们之间差异无统计学意义( P>0.05)。5例( 55.6%)RO病灶、1例( 8.3%)CCRC病灶见星状或条索状纤维瘢痕;6例(66.7%)RO病灶、2例( 16.7%)CCRC病灶出现辐轮状强化; 6例( 66.7%)RO病灶、2例( 16.7%)CCRC病灶出现节段性强化反转,它们之间差异均有统计学意义( P<0.05);所有患者均未出现腹膜后淋巴结肿大。3例( 33.3%)RO病灶、9例( 75.0%)CCRC病灶显示均匀性强化;7例 (77.8%)RO病灶、2例(16.7%)CCRC病灶显示明显强化,它们之间差异均有统计学意义( P<0.05)。CT平扫,RO病灶 CT值高于 CCRC病灶,CT动态增强各期相,RO病灶 CT值也高于 CCRC病灶。结论星状或条索状的纤维瘢痕、辐轮状强化、节段性强化反转、明显性强化更多出现在 RO患者中,而均匀性强化更多出现在 CCRC患者中,术前多层螺旋 CT有助于鉴别 RO和 CCRC。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:广东省科技计划重大专项课题( 2014B02022500)
通讯作者:邹艳,Email:zouy927@126.com
更新日期/Last Update: 2016-12-30