Eisenberg P J, Papanicolaou N, Lee M J, Yoder I C
Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114.
Leuk Lymphoma. 1994 Dec;16(1-2):37-50. doi: 10.3109/10428199409114138.
Renal lymphoma usually is a manifestation of disseminated disease and often is asymptomatic. Occasionally, the kidney(s) may be the major or only demonstrable site of disease, which may then present with a variety of urologic symptoms. The imaging studies should be tailored according to the presenting symptoms and prior history. Currently CT with intravenous contrast material enhancement is the study of choice for both the evaluation of renal involvement as well as staging of the disease. When necessary, CT or sonography may be used to guide percutaneous needle biopsy of suspicious masses. The role of the various imaging techniques, including MR and positron emission tomography, in the evaluation of renal lymphoma is discussed.
肾淋巴瘤通常是播散性疾病的一种表现，且常常无症状。偶尔，肾脏可能是疾病的主要或唯一可显示部位，此时可能会出现各种泌尿系统症状。影像学检查应根据呈现的症状和既往病史进行调整。目前，静脉注射造影剂增强的CT是评估肾脏受累情况以及疾病分期的首选检查。必要时，CT或超声可用于引导对可疑肿块进行经皮穿刺活检。本文讨论了包括磁共振成像（MR）和正电子发射断层扫描在内的各种成像技术在肾淋巴瘤评估中的作用。
