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偶发性肾病变的影像学检查与管理

Imaging and Management of Incidental Renal Lesions.

作者信息

Mazziotti Silvio, Cicero Giuseppe, D'Angelo Tommaso, Marino Maria Adele, Visalli Carmela, Salamone Ignazio, Ascenti Giorgio, Blandino Alfredo

机构信息

Department of Biomedical Sciences and Morphological and Functional Imaging, University of Messina, Policlinico "G. Martino", Via Consolare Valeria 1, 98100 Messina, Italy.

出版信息

Biomed Res Int. 2017;2017:1854027. doi: 10.1155/2017/1854027. Epub 2017 May 31.

Abstract

The increased use of imaging modalities in the last years has led to a greater incidence in depicting abdominal incidental lesions. In particular, "incidentalomas" of the kidney are discovered in asymptomatic patients or patients who suffer from diseases not directly related to the kidneys. The aim of this paper is to provide the radiologist with a useful guide to recognize and classify the main incidental renal findings with the purpose of establishing the correct management. First we describe the so-called "pseudotumors" which are important to recognize in order to avoid a misdiagnosis. Afterwards we categorize true renal lesions into cystic and solid types, reporting radiological signs helpful in differentiating between benign and malignant nature.

摘要

近年来,成像模态使用的增加导致腹部偶然病变的检出率更高。特别是,在无症状患者或患有与肾脏无直接关系疾病的患者中发现了肾脏“偶发瘤”。本文的目的是为放射科医生提供一份有用的指南,以识别和分类主要的肾脏偶然发现,从而确定正确的处理方法。首先,我们描述所谓的“假肿瘤”,识别它们对于避免误诊很重要。之后,我们将真正的肾脏病变分为囊性和实性类型,并报告有助于区分良性和恶性性质的放射学征象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8485/5470004/452a903a8691/BMRI2017-1854027.001.jpg

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