Kumari-Subaiya S, Lee W J, Festa R, Phillips G, Pochaczevsky R
J Clin Ultrasound. 1984 Oct;12(8):465-72. doi: 10.1002/jcu.1870120803.
The ultrasonic findings in 10 patients with diffuse leukemic infiltration of the kidneys are described. The findings are analogous to those seen pathologically and include enlargement of the kidneys, diffuse leukemic infiltration of the renal cortex with sparing of the adjacent medullae, loss of definition and distortion of the renal sinus echo complex and a focal mass. The ultrasound findings correlated well with those seen with intravenous urography making it the preferable screening modality for the initial detection of renal involvement, subsequent follow-up and response to therapy in leukemic patients.
描述了10例肾脏弥漫性白血病浸润患者的超声检查结果。这些结果与病理所见相似,包括肾脏增大、肾皮质弥漫性白血病浸润而相邻髓质未受累、肾窦回声复合体界限不清和变形以及一个局灶性肿块。超声检查结果与静脉肾盂造影所见密切相关,使其成为白血病患者肾脏受累初始检测、后续随访及治疗反应的首选筛查方式。