Barré C, Boccon-Gibod L, Steg A
Ann Urol (Paris). 1985;19(3):159-63.
The authors assess the role of CT scanning in investigations for the extension of renal tumors with the aid of a series of 40 patients. A complete inventory of the lesions was obtained in 30 patients who had undergone radical surgery. Capsular damage is visualized with a high percentage of uncertainty, and, setting aside a few exceptions, it is impossible to specify the histological nature of adenomegalies. On the other hand, venous exploration can be performed with growing accuracy thanks to series of angioscans. This method of investigation would therefore not seem suitable for staging tumors on Robson's scale, but it is most useful in selecting surgical tactics in the preoperative assessment of the lesions.
作者借助40例患者的系列研究评估CT扫描在肾肿瘤扩展检查中的作用。在30例接受根治性手术的患者中获得了病变的完整清单。包膜损伤的可视化存在很大比例的不确定性,除了少数例外,无法明确腺瘤样病变的组织学性质。另一方面,由于一系列血管造影扫描,静脉探查的准确性不断提高。因此,这种检查方法似乎不适用于按照罗布森分期标准对肿瘤进行分期,但在术前评估病变以选择手术策略方面非常有用。