Lemaître G, Delambre Y
J Radiol. 1983 Feb;64(2):91-8.
The value of computed tomography was assessed in 52 patients with malignant kidney tumors, of whom 34 had undergone nephrectomy. Findings on the CT scan in a small group of 9 patients, when it was employed mainly for diagnostic purposes, gave true results in 7 cases, its contribution being decisive in 3 of these 7 cases. Scanning replaced arteriography for evaluation of tumor spread in 40 patients, where it was found to be very effective for assessment of perirenal, pararenal and lymph node extension. A high percentage of doubtful results were obtained during the first few years of use of the CT scan for determining state of veins (renal vein and inferior vena cava). Subsequent refinements in technique markedly improved the incidence of positive results. Computed tomography should be employed as the method of first choice for determining the stage of malignant kidney tumors.
对52例肾恶性肿瘤患者的计算机断层扫描（CT）价值进行了评估，其中34例已接受肾切除术。在主要用于诊断目的的一小群9例患者中，CT扫描结果在7例中为真实结果，其中3例中其作用起决定性作用。扫描替代动脉造影用于评估40例患者的肿瘤扩散情况，发现其对评估肾周、肾旁和淋巴结侵犯非常有效。在CT扫描用于确定静脉（肾静脉和下腔静脉）状态的最初几年中，获得了很高比例的可疑结果。随后技术的改进显著提高了阳性结果的发生率。计算机断层扫描应作为确定肾恶性肿瘤分期的首选方法。
