Roy C, Chaudron V, Benhaim R, Renard C, Bachelier P, Charton J, Lang H, Jacqmin D
Service de radiologie B, nouvel hôpital civil central, 1, place de l'hôpital, BP 426, 67091 Strasbourg cedex, France.
J Radiol. 2011 Dec;92(12):1091-100. doi: 10.1016/j.jradio.2011.09.007. Epub 2011 Nov 16.
To describe the imaging features of pancreatic metastases from renal cell carcinoma.
Retrospective study of 17 patients with isolated metachronous pancreatic metastases from renal cell carcinoma with surgical and pathological correlation.
The preoperative diagnosis was made on ultrasound in 13 cases. Contrast-enhanced CT showed intense tumor enhancement at the arterial phase, mostly homogeneous but sometimes heterogeneous. There were multiple lesions in six cases. Following complete surgical resection, survival was fairly good.
Long-term follow-up with CT obtained in the arterial and portal venous phases is mandatory. The arterial phase acquisition is essential for the diagnosis of pancreatic metastases from renal cell carcinoma.
描述肾细胞癌胰腺转移瘤的影像学特征。
对17例孤立性异时性肾细胞癌胰腺转移瘤患者进行回顾性研究，并将手术与病理结果进行对照。
13例患者术前经超声作出诊断。增强CT显示肿瘤在动脉期强化明显，大多均匀强化，但有时也不均匀。6例患者存在多发病灶。完整手术切除后，患者生存率相当不错。
必须对动脉期和门静脉期CT进行长期随访。动脉期扫描对诊断肾细胞癌胰腺转移瘤至关重要。
