Cohen M D, Siddiqui A
Clin Radiol. 1982 Sep;33(5):539-40. doi: 10.1016/s0009-9260(82)80172-4.
Fifty patients with Wilms' tumour have been reviewed to evaluate the incidence of liver metastasis in order to identify the optimum time and frequency for radiological investigation. Liver involvement occurred in 12% of our cases. The most rewarding periods for the diagnosis of liver metastasis are the first few months of the illness, the period immediately after stopping chemotherapy, or any time that lung metastases are identified. Liver scintigraphy is recommended as the initial investigation, and abnormal cases should proceed to ultrasound or computed tomography.
对50例肾母细胞瘤患者进行了回顾性研究,以评估肝转移的发生率,从而确定影像学检查的最佳时间和频率。我们的病例中有12%出现了肝脏受累。诊断肝转移最有价值的时期是疾病的最初几个月、停止化疗后的即刻,或发现肺转移的任何时间。建议将肝脏闪烁扫描作为初步检查,异常病例应进一步进行超声或计算机断层扫描。