Ueda T, Nishitani H, Kudo H
Department of Urology and Radiology, Kyushu University Hospital, Fukuoka, Japan.
Urology. 1988 Nov;32(5):459-64. doi: 10.1016/0090-4295(88)90428-1.
The staging of tumor extension, and regional lymph node and venous involvement by angiography and computed tomography (CT) using new morphologic criteria were compared with the surgical and histopathologic stage in 59 patients (60 cases) with renal cell carcinoma. A high degree of accuracy in staging of both angiography and CT was demonstrated. However, CT was more accurate and sensitive than angiography in the evaluation of tumor extension and regional lymph node involvement, and equally accurate in that of venous involvement. We emphasize that new morphologic criteria of angiography and CT are clinically useful, and CT is the primary approach for the staging of renal cell carcinoma.
采用新的形态学标准，通过血管造影和计算机断层扫描（CT）对59例（60个病例）肾细胞癌患者的肿瘤扩展、区域淋巴结及静脉受累情况进行分期，并与手术及组织病理学分期进行比较。结果显示血管造影和CT在分期方面均具有较高的准确性。然而，在评估肿瘤扩展和区域淋巴结受累方面，CT比血管造影更准确、更敏感，在评估静脉受累方面两者准确性相当。我们强调血管造影和CT的新形态学标准在临床上是有用的，且CT是肾细胞癌分期的主要方法。
