肾癌的影像学检查与筛查
Imaging and Screening of Kidney Cancer.
作者信息
Diaz de Leon Alberto, Pedrosa Ivan
机构信息
Department of Radiology, University of Texas Southwestern Medical Center, 2201 Inwood Road, 2nd Floor, Suite 202, Dallas, TX 75390-9085, USA.
Department of Radiology, University of Texas Southwestern Medical Center, 2201 Inwood Road, 2nd Floor, Suite 202, Dallas, TX 75390-9085, USA.
出版信息
Radiol Clin North Am. 2017 Nov;55(6):1235-1250. doi: 10.1016/j.rcl.2017.06.007.
Abstract
Renal cell carcinoma (RCC) exhibits a diverse and heterogeneous disease spectrum, but insight into its molecular biology has provided an improved understanding of potential risk factors, oncologic behavior, and imaging features. Computed tomography (CT) and MR imaging may allow the identification and preoperative subtyping of RCC and assessment of a response to various therapies. Active surveillance is a viable management option in some patients and has provided further insight into the natural history of RCC, including the favorable prognosis of cystic neoplasms. This article reviews CT and MR imaging in RCC and the role of screening in selected high-risk populations.
摘要
肾细胞癌（RCC）呈现出多样且异质性的疾病谱，但对其分子生物学的深入了解有助于更好地认识潜在风险因素、肿瘤行为及影像学特征。计算机断层扫描（CT）和磁共振成像（MR）可用于肾细胞癌的识别、术前亚型分类以及评估对各种治疗的反应。在某些患者中，主动监测是一种可行的管理选择，并且能进一步深入了解肾细胞癌的自然病程，包括囊性肿瘤的良好预后。本文综述了肾细胞癌的CT和MR成像以及在特定高危人群中的筛查作用。
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