Masselot J, Gayet-Delacroix M, Toullec Y, Buzelin J M, Guimont P, Herzog B
J Radiol Electrol Med Nucl. 1975 Feb;56(2):119-26.
Three cases of arteriography of renal metastasis of solid tumors are presented. Twice the primitive cancer was bronchial, once laryngeal. There is not other clinical metastasis at the time of arteriography. A general revue of the 19 observations of the litterature is donemthe indication of the arteriography is justified if the primary tumor is not known or if there is not other metastasis. On the cortrary if they are diffused, the indications of this angiography are obviously very limited. In six cases, one can see, as in our observation, stretched thin, encased arteries with a lacune at the nephrographic time. In six other, at these images, are associated rare flecks and neovascularisations; Theses radiological syndromes seem to us characteristic. More rarely the angiography may be normal (3 cases) or look like a primitive renal tumor (3 cases). We must say, however, that nearly all the observations have anatomicaly a renal tumor. The other types of renal metastasis are not well known angiographycally.
本文介绍了3例实体瘤肾转移的动脉造影病例。原发癌两次为支气管癌,一次为喉癌。动脉造影时无其他临床转移。对文献中19例观察结果进行了综述,如果原发肿瘤不明或无其他转移,则动脉造影的指征是合理的。相反,如果转移灶广泛,这种血管造影的指征显然非常有限。在6例病例中,正如我们的观察所见,在肾造影期可见动脉拉长变细,周围有包膜,并有一个腔隙。在另外6例中,这些图像上伴有罕见的斑点和新生血管;这些放射学综合征在我们看来具有特征性。更少见的是,血管造影可能正常(3例)或类似原发性肾肿瘤(3例)。然而,我们必须指出,几乎所有观察病例在解剖学上都有肾肿瘤。其他类型的肾转移在血管造影方面了解较少。