Reiman T A, Siegel M J, Shackelford G D
Radiology. 1986 Aug;160(2):501-5. doi: 10.1148/radiology.160.2.3014599.
Computed tomographic (CT) scans and sonograms of 13 children with Wilms tumor were reviewed to determine the ability of each imaging test to characterize the tumor and determine its extent. The findings of this review were correlated with diagnoses based on surgical and pathologic evidence. Tumor necrosis and a pseudocapsule were detected more often using CT scans than sonograms. CT scanning also was more sensitive in assessing perinephric extension, lymph node involvement, and bilateral tumors. Overall, CT scans allowed better determination of the extent of a suspected tumor, enabling correct diagnosis in 77% of patients, while US study was correct in only 23%.
对13例肾母细胞瘤患儿的计算机断层扫描（CT）和超声检查结果进行了回顾，以确定每种影像学检查对肿瘤特征的描述能力及其范围。本回顾结果与基于手术和病理证据的诊断结果相关。与超声检查相比，CT扫描更常检测到肿瘤坏死和假包膜。CT扫描在评估肾周浸润、淋巴结受累和双侧肿瘤方面也更敏感。总体而言，CT扫描能更好地确定可疑肿瘤的范围，77%的患者得以正确诊断，而超声检查的正确诊断率仅为23%。
