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[肾细胞癌的影像学检查]

[Imaging renal cell carcinoma].

作者信息

Graser A, Zech C J, Stief C G, Reiser M F, Staehler M

机构信息

Institut für Klinische Radiologie, Klinikum der Universität München - Grosshadern, Marchionistr. 15, 81377, München, Deutschland.

出版信息

Urologe A. 2009 Apr;48(4):427-36; quiz 437-8. doi: 10.1007/s00120-009-1993-5.

Abstract

Renal cell cancer is the most frequently encountered malignant tumor of the kidney. The modern imaging techniques computed tomography (CT) and magnetic resonance imaging (MRI) play a vital role in the diagnostic work-up of renal masses. Contrast-enhanced ultrasound (CEUS) is able to visualize subtle enhancement in hypovascular tumors with high sensitivity. Recent advances in multidetector CT (MDCT) enable high resolution imaging of local findings. CT is able to provide large volume coverage of the chest and abdomen within seconds for the assessment of lymph node and distant metastasis staging. Local renal cell cancer staging can be achieved with similar diagnostic accuracy using CT or MRI. Both modalities allow visualization of a tumor's relationship to the renal collecting system and pelvis, the renal artery and veins including the IVC. It is the radiologist's task to accurately detect and stage renal malignances in order that each individual patient receives the therapy best suited to them.

摘要

肾细胞癌是最常见的肾脏恶性肿瘤。现代成像技术计算机断层扫描(CT)和磁共振成像(MRI)在肾肿块的诊断检查中起着至关重要的作用。超声造影(CEUS)能够以高灵敏度显示乏血供肿瘤的细微增强。多排螺旋CT(MDCT)的最新进展能够对局部病变进行高分辨率成像。CT能够在数秒内对胸部和腹部进行大范围覆盖,以评估淋巴结和远处转移分期。使用CT或MRI进行局部肾细胞癌分期可获得相似的诊断准确性。这两种检查方式都能显示肿瘤与肾集合系统和肾盂、肾动脉和静脉(包括下腔静脉)的关系。准确检测肾恶性肿瘤并进行分期是放射科医生的任务,以便每个患者都能接受最适合他们的治疗。

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