论文部分内容阅读
目的:探讨多房囊性肾细胞癌(MCRCC)的256层iCT增强扫描影像特征。方法:搜集6例经外科手术病理证实为多房囊性肾细胞癌患者的临床资料、CT影像资料及病理资料,对比分析多房囊性肾细胞癌的影像特点。结果:6例均发生于肾实质区,增强扫描可见不同程度囊性改变、无明显壁结节、有包膜边界清晰、肾盂肾盏无侵蚀破坏,无肾静脉癌栓形成,均无远处转移征象,3例行患侧肾全切除术,3例行肾肿瘤楔形切除术。结论:多房囊性肾细胞癌的256层iCT增强扫描表现有一定特征性,可作为术前诊断的理想手段,对治疗方案的优选及改善患者生存质量有积极意义。
Objective: To investigate the features of 256-slice iCT enhancement scan of multilocular cystic renal cell carcinoma (MCRCC). Methods: The clinical data, CT image data and pathological data of 6 patients with multilocular renal cell carcinoma confirmed by surgical pathology were collected. The imaging features of multilocular cystic renal cell carcinoma were analyzed. Results: All of the 6 cases occurred in the renal parenchyma area. The enhanced scanning revealed cystic changes of various degrees, no obvious wall nodules, clear envelopment of the capsule, no erosive destruction of the renal pelvis calyx, no renal vein thrombosis, no distant sites Metastasis signs, 3 cases of ipsilateral total kidney resection, 3 cases of renal tumor wedge resection. CONCLUSION: The 256-slice iCT enhanced MR findings of polycystic renal cell carcinoma have certain characteristics and can be used as an ideal method for preoperative diagnosis. It is of positive significance for optimizing the treatment plan and improving the quality of life of patients.