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尿路上皮癌的影像学表现:泌尿科医生须知。

Imaging of urothelial cancers: what the urologist needs to know.

机构信息

Department of Urology, The University of Texas M. D. Anderson Cancer Center, Unit 1373, 1515 Holcombe Blvd, Houston, TX 77030, USA.

出版信息

AJR Am J Roentgenol. 2011 Jun;196(6):1249-54. doi: 10.2214/AJR.10.6232.

DOI:10.2214/AJR.10.6232
PMID:21606285
Abstract

OBJECTIVE

Imaging is vital in the diagnosis, staging, and surveillance of urothelial carcinomas. In this review, we discuss what treating urologists need to know from radiologists to optimally identify disease, plan surgery, determine prognosis, and identify patients in need of multimodal or alternative treatment strategies. We identify key points that a radiologist should convey to the treating urologist, in writing, in order to be an active partner in the formulation of an effective course of care.

CONCLUSION

Because imaging plays a crucial role in the diagnosis, staging, and surveillance of patients with tumors of the urinary tract, it is imperative that radiologists provide information about the anatomic features related to the primary tumor, the surrounding anatomy, and involvement or lack of involvement of known potential landing sites for metastases. A good understanding of the imaging features that affect management of the disease and a good relationship between the radiologist and the urologist are vital to the care of patients with urothelial cancers.

摘要

目的

影像学在膀胱癌的诊断、分期和监测中至关重要。在这篇综述中,我们讨论了放射科医生需要向泌尿科医生提供哪些信息,以最佳地识别疾病、规划手术、确定预后,并确定需要多模式或替代治疗策略的患者。我们确定了放射科医生应该以书面形式向治疗泌尿科医生传达的要点,以便成为制定有效治疗方案的积极合作伙伴。

结论

由于影像学在诊断、分期和监测尿路肿瘤患者中起着至关重要的作用,因此放射科医生必须提供有关与原发肿瘤、周围解剖结构以及已知潜在转移部位的受累或未受累相关的解剖特征的信息。对影响疾病管理的影像学特征的充分了解以及放射科医生与泌尿科医生之间的良好关系,对膀胱癌患者的护理至关重要。

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