Gupta S, Keane S
Br J Radiol. 1985 Sep;58(693):893-5. doi: 10.1259/0007-1285-58-693-893.
It is not uncommon to see renal involvement in children with the established diagnosis of acute lymphoblastic leukaemia (ALL). Previous reports suggest renal enlargement in 24% of all diagnosed ALL patients (Hann et al, 1981). In severe cases there is marked bilateral and symmetrical enlargement of both kidneys. The calyces and the infundibula are markedly stretched and these appearances are similar to those seen in adult polycystic kidneys. However, in ALL stretching of the calyces and the infundibula is not associated with cysts. These appearances led to the presumptive diagnosis of ALL in two children.
在已确诊为急性淋巴细胞白血病（ALL）的儿童中，出现肾脏受累的情况并不少见。先前的报告显示，在所有确诊的ALL患者中，24%存在肾脏肿大（汉恩等人，1981年）。在严重的病例中，双侧肾脏会出现明显且对称的肿大。肾盏和肾盂明显拉长，这些表现与成人多囊肾相似。然而，在ALL中，肾盏和肾盂的拉长与囊肿无关。这些表现使得两名儿童被初步诊断为ALL。
