Di Stefano D, Helenon O, Cornud F, Chiche J F, Chrétien Y, Trifard F, Dufour B, Michel J R, Moreau J F
Service de Radiologie Urinaire, Hôpital Necker, Paris.
Ann Urol (Paris). 1990;24(2):122-6.
Venous tumor invasion in 42 renal cell carcinomas was evaluated by MRI. A correct diagnosis of renal vein and inferior vena cava (IVC) involvement was made in 14 of 17 tumors: 1 false negative diagnosis of right renal vein invasion was due to a double renal vein in which the inferior vein (identified by MRI) was not involved; 2 cases of IVC involvement were understaged (1 case of suprahepatic extension) or not identified (the false negative of renal vein invasion previously described). One false positive (among 31 tumors without venous invasion) was reported in a case of a large tumor in which the compressed but free right renal vein was overevaluated by MRI.
通过MRI评估了42例肾细胞癌的静脉肿瘤侵犯情况。17例肿瘤中有14例对肾静脉和下腔静脉(IVC)受累做出了正确诊断:1例假阴性的右肾静脉侵犯诊断是由于存在双肾静脉,其中下静脉(经MRI识别)未受累;2例IVC受累病例分期过低(1例肝上延伸)或未被识别(即先前描述的肾静脉侵犯假阴性)。在1例大肿瘤病例中报告了1例假阳性(在31例无静脉侵犯的肿瘤中),该病例中受压但无侵犯的右肾静脉被MRI过度评估。