Dyer Ray, DiSantis David J, McClennan Bruce L
Department of Radiology, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA.
Radiology. 2008 May;247(2):331-43. doi: 10.1148/radiol.2472061846. Epub 2008 Feb 29.
Current patterns of imaging utilization lead to frequent serendipitous discovery of renal lesions. Today, the majority of solid renal masses that are ultimately proved to be renal cell carcinomas were incidental findings on imaging studies performed for non-urinary tract symptoms. While earlier discovery has led to treatment of smaller and earlier-stage malignancies, the percentage of benign lesions discovered has also increased. A strategy for characterization of solid masses in adults based on the lesion's growth pattern, the "ball" versus the "bean," is presented. Common and uncommon renal masses, in concert with clinical and other imaging clues, are reviewed within the context of a renal ball or bean.
当前的影像学检查模式导致肾病变经常被偶然发现。如今，大多数最终被证实为肾细胞癌的实性肾肿块是在针对非泌尿道症状进行的影像学检查中偶然发现的。虽然早期发现有助于对更小、更早阶段的恶性肿瘤进行治疗，但发现的良性病变比例也有所增加。本文提出了一种基于病变生长模式（“球形”与“豆形”）对成人实性肿块进行特征描述的策略。结合临床和其他影像学线索，在肾球形或豆形的背景下对常见和不常见的肾肿块进行综述。
