Tolhurst Stephen R, Rapp David E, Lyon Mark B, Orvieto Marcelo A, Sokoloff Mitchell H, Shalhav Arieh L
Department of Surgery, University of Chicago, Chicago, IL 60637, USA.
Urol Int. 2006;76(4):368-70. doi: 10.1159/000092066.
Partial nephrectomy for small renal tumors is associated with excellent long-term outcomes. In the absence of positive surgical margins, local recurrence is uncommon. Although computed tomography is associated with good diagnostic accuracy, the radiographic evaluation of some renal lesions remains difficult. This difficulty can be greater in the period following surgery, when post-operative tissue changes can result in abnormal radiographic findings. We report a case of benign post-operative changes mimicking the radiographic appearance of recurrent renal cell carcinoma.
小肾肿瘤的部分肾切除术具有出色的长期预后。在手术切缘阴性的情况下,局部复发并不常见。尽管计算机断层扫描具有良好的诊断准确性,但对一些肾病变的影像学评估仍然困难。在术后阶段,这种困难可能更大,因为术后组织变化可能导致异常的影像学表现。我们报告一例良性术后改变酷似复发性肾细胞癌影像学表现的病例。