Roy C, Merran S
Service de Radiologie B - Chirurgie A, Hôpitaux Universitaires de Strasbourg - Hôpital Civil, 1 place de l'Hôpital BP 426, 67091 Strasbourg Cedex, France.
J Radiol. 2002 Jun;83(6 Pt 2):843-59, discussion 861-2.
Epithelial bladder tumors are very common. Multiple lesions are possible with variable degrees of malignant potential. Benign and mesenchymal tumors are much less frequent. The role of imaging is to first raise the possibility of such a tumor and then to provide pretreatment staging. Cystoscopy with tumoral resection and histological diagnosis remains essential for adequate treatment selection. Ultrafast MR imaging may be very valuable for evaluation of these tumors. Posttreatment follow-up is needed to detect recurrent tumors. Intravenous urography remains valuable for evaluation of the upper tracts.
膀胱上皮性肿瘤非常常见。可能出现多个病灶,且具有不同程度的恶性潜能。良性和间叶性肿瘤则较为少见。影像学的作用首先是提高此类肿瘤的可能性,然后进行治疗前分期。膀胱镜检查结合肿瘤切除及组织学诊断对于选择合适的治疗方法仍然至关重要。超快磁共振成像对于评估这些肿瘤可能非常有价值。治疗后需要进行随访以检测复发性肿瘤。静脉肾盂造影对于评估上尿路仍然很有价值。