肾透明细胞癌影像学表现与病理学改变的相关性  

Renal clear cell carcinoma imaging findings and pathological change of correlation

作　　者：张勇[1] 

机构地区：[1]菏泽医学专科学校,山东菏泽274000

出　　处：《菏泽医学专科学校学报》2013年第4期13-16,共4页Journal of Heze Medical College

摘　　要：目的探讨彩色超声、CT对肾透明细胞癌的诊断价值及与病理学的关系。方法收集46例病理证实为肾透明细胞癌患者的影像学信息,对影像学和病理资料进行分析。结果超声图像表现以占位性病变周围及内部血流信号依据,超声诊断与病理结果符合率达100%。MSCT平扫病灶呈低密度较均匀13例,混杂密度27例,囊实性明显混杂密度2例,环形钙化、蛋壳状或结节状4例。病变实性部分在增强扫描的情况下明显强化不均者37例,均匀性强化9例;MSCT平扫及增强诊断与病理结果符合率达100%。结论每年40岁以上常规健康查体彩色超声可发现小肾癌,超声发现异常后进一步CT证实对降低误诊具有重要意义,其组织学类型仍需依靠术后病理学检查。Objective To investigate the color ultrasound and CT diagnostic value of renal clear cell carcinoma and the relationship with the pathology. Methods 46 cases of pathologically proven for patients with renal clear cell carcino- ma imaging information, analyze the imaging and pathological datcL Results ultrc^onic image performance to the space- occupying lesions and internal blood flow signals around, ultrasound diagnosis coincidence rate was 100% with the patho- logical results. Scan lesions with low density is uniform in 13 patients, 27 cases of mixed density, obvious cystic or solid mixed density in 2 cases, nodular, eggshell or annular caleification in 4 cases. Enhanced solid lesions component inhomo- geneity obviously strengthen 37 cases, uniformity of strengthening 9 cases; MSCT scan and improve diagnostic coinci- dence rate was 100% with the pathological results. Conclusion each year over 40 conventional kindergarden color ultra- sound can find small renal cancer, further after ultrasonic found abnormal CT confirmed is of great significance to reduce the misdiagnosis and the histological type still need to rely on postoperative pathological examination.

关 键 词：肾透明细胞癌 诊断 肾透明细胞癌 病理学 彩色超声 诊断应用 MDCT检查 诊断应用 

分 类 号：R737.11[医药卫生—肿瘤] R445.1[医药卫生—临床医学]