Galia Massimo, Albano Domenico, Bruno Alberto, Agrusa Antonino, Romano Giorgio, Di Buono Giuseppe, Agnello Francesco, Salvaggio Giuseppe, La Grutta Ludovico, Midiri Massimo, Lagalla Roberto
1 Department of Radiology, DIBIMED, University of Palermo, Palermo, Italy.
2 Department of General Surgery and Emergency, University of Palermo, Palermo, Italy.
Br J Radiol. 2017 Aug;90(1077):20170077. doi: 10.1259/bjr.20170077. Epub 2017 Jul 13.
The widespread use of abdominal imaging techniques has increased the detection of solid renal masses over the past years. Imaging plays a crucial role in the management and surveillance and in determining which lesions need treatment. The "classical angiomyolipoma" is the only benign solid renal mass that can be characterized with confidence by imaging through the detection of a fat-containing lesion without calcifications. There is a large overlap of imaging features between benign and malignant renal masses that often makes difficult a correct characterization of these lesions. In this review, we discuss the imaging features of the main solid renal masses that may suggest a likely benign diagnosis.
在过去几年中,腹部成像技术的广泛应用增加了肾实性肿块的检出率。成像在管理和监测以及确定哪些病变需要治疗方面起着至关重要的作用。“经典血管平滑肌脂肪瘤”是唯一一种通过检测不含钙化的含脂肪病变,可通过成像明确特征的良性肾实性肿块。良性和恶性肾肿块的成像特征有很大重叠,这常常使得对这些病变进行正确的特征描述变得困难。在本综述中,我们讨论了可能提示良性诊断的主要肾实性肿块的成像特征。