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肾脏肿块性病变中的钙化(作者译)

[Calcification in mass lesions in the kidney (author's transl)].

作者信息

Pemsel H K, Hellwig J, Drews H

出版信息

Rofo. 1977 Jan;126(1):18-22. doi: 10.1055/s-0029-1230527.

Abstract

In 80 mass lesions of the kidney, we found 11 cases with calcification; six of these occurred amongst 48 tumours and five amongst 32 solitary cysts. In particular, the following were found: 1. The frequency of calcification of 12 to 14% corresponds with that given in the literature. If other radiological signs fail indicate the nature of the space-occupying lesion, then calcification may be of diagnostic value. 2. Calcified cyst walls appear as fine, even, curvi-linear lines, Dense, irregular and extensive calcification indicates a solid tumour. 3. Ring or curvi-linear calcification in not a reliable sign of a cyst. Tumours may also show this type of calcification indicates a solid tumour. 3. Ring or curvi-linear calcification is not a reliable sign of cyst. Tumours may also show this type of calcification. Calcification occurs in solitary cyst with about the same frequency as in tumours. 4. Histologically all calcified tumours were clear cell carcinomas, mostly hypervascular. Only one case showed central necrosis.

摘要

在80例肾脏肿块病变中,我们发现11例有钙化;其中6例出现在48个肿瘤中,5例出现在32个孤立性囊肿中。具体发现如下:1. 12%至14%的钙化频率与文献报道相符。如果其他放射学征象无法提示占位性病变的性质,那么钙化可能具有诊断价值。2. 钙化的囊肿壁表现为细的、均匀的曲线状线条,致密、不规则且广泛的钙化提示为实性肿瘤。3. 环状或曲线状钙化并非囊肿的可靠征象。肿瘤也可能出现这种类型的钙化。孤立性囊肿中钙化的发生率与肿瘤大致相同。4. 组织学上,所有钙化肿瘤均为透明细胞癌,大多血供丰富。仅1例出现中央坏死。

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