Department of Radiology, Tıp Fakültesi Hastanesi, School of Medicine, Hacettepe University, Sıhhiye, 06100, Ankara, Turkey.
Abdom Radiol (NY). 2018 Sep;43(9):2400-2411. doi: 10.1007/s00261-017-1444-5.
Peripelvic and periureteric areas are frequently overlooked in the imaging evaluations of the urinary system on computed tomography and magnetic resonance imaging. Several neoplastic and non-neoplastic disorders and diseases including lipomatosis, angiomyolipoma and angiolipomatous proliferation, vascular lesions, lymphangiomatosis, Rosai-Dorfman disease, Erdheim-Chester disease, extramedullary hematopoiesis, IgG4-related disease, lymphoma, mesenchymal tumors, trauma, and Antopol-Goldman lesion may involve these areas. Differentiation of these benign or malignant pathologies among themselves and from primary renal pathologies is of utmost importance to expedite the triage of patients for correct treatment approach. In this article, we aim to increase the awareness of the imaging specialists to the typical and atypical imaging features of the entities affecting these areas.
骨盆旁和输尿管周围区域在泌尿系统的计算机断层扫描和磁共振成像成像评估中经常被忽视。包括脂肪瘤病、血管平滑肌脂肪瘤和血管脂肪增生、血管病变、淋巴管瘤病、Rosai-Dorfman 病、Erdheim-Chester 病、骨髓外造血、IgG4 相关疾病、淋巴瘤、间叶肿瘤、创伤和 Antopol-Goldman 病变在内的几种肿瘤性和非肿瘤性疾病和病症可累及这些区域。区分这些良性或恶性病变与原发性肾脏病变之间的差异对于加快患者分诊以获得正确的治疗方法至关重要。本文旨在提高影像专家对影响这些区域的各种疾病的典型和非典型影像学特征的认识。