肾上皮样AML与透明细胞型肾癌的CT鉴别价值  

The Value of CT in Differential Diagnosis of Renal Epithelioid AML and Clear Cell Renal Cell Carcinoma

作　　者：陶文娟 刘锋 孟秋凤 许万博[2] TAO Wenjuan;LIU Feng;MENG Qiufeng;XU Wanbo(CT Room,Traditional Chinese Medical Hospital of Dezhou,Dezhou Shandong 253000,China;Department of Radiology,The People's Hospital of Dezhou,Dezhou Shandong 253000,China)

机构地区：[1]德州市中医院CT室,山东德州253000 [2]德州市人民医院放射科,山东德州253000

出　　处：《中国继续医学教育》2021年第14期121-124,共4页China Continuing Medical Education

基　　金：山东省医药卫生科技发展计划项目(2017WS728)。

摘　　要：目的分析CT检查对肾上皮样血管平滑肌脂肪瘤(EAML)与透明细胞型肾癌(ccRCC)的鉴别诊断价值。方法统计患者的年龄、性别、肾-肿瘤界面、脂肪含量、钙化、粗大血管、平扫密度、强化方式,回顾性分析经病理证实的13例EAML及52例ccRCC的CT表现,探讨其鉴别诊断价值。结果两组病例是脂肪含量、粗大血管、平扫密度及强化方式有统计学意义(P<0.05)。两组病例的肾-肿瘤界面、钙化表现,差异无统计学意义(P>0.05)。结论病灶的脂肪含量、粗大血管、平扫密度、强化方式CT表现,有助于EAML与ccRCC的鉴别。Objective To analyze the differential diagnosis between the renal epithelioid angiomyolipoma(EAML)and the clear cell renal cell carcinoma(ccRCC)by CT scan.Methods We Count the age and sex of patient,Kidneytumor interface,fat component,calcification,gross tumor vascular,unenhanced attenuation,enhancement pattern,retrospectively analyzed CT feature between the13 EAML and52 ccRCC, which were confirmed by pathology, Toinvestigate the differential diagnosis. Results There werestatistical differences between the fat component, grosstumor vascular,unenhanced attenuation and enhancementpattern (P<0.05). While the Kidney-tumor interface,and calcification had no statistical difference (P>0.05).Conclusion The fat component,gross tumor vascular,unenhanced attenuation and enhancement pattern of thetumor are helpful to distinguish EAML from ccRCC.

关 键 词：肾上皮样血管平滑肌脂肪瘤 透明细胞型肾癌 计算机断层摄影 平扫 动态增强 鉴别诊断 

分 类 号：R736[医药卫生—肿瘤]