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[肾肿瘤的计算机断层扫描]

[Computerized tomography of kidney tumors].

作者信息

Schunk K, Schild H, Strunk H, Ropp G, Fritz T, Schweden F

机构信息

Klinik und Poliklinik für Radiologie der Johannes Guttenberg-Universität, Mainz.

出版信息

Aktuelle Radiol. 1994 Sep;4(5):235-42.

PMID:7986840
Abstract

Among 220 renal tumors which we detected by computed tomography, there were 168 renal cell carcinomas, 24 tumor of the renal pelvis, 16 angiomyolipomas, 6 Wilms tumors, 3 oncocytomas, one liposarcoma, one mesenchymal tumor, and one rhabdomyosarcoma. Computed tomography had the highest accuracy of the diagnostic procedures with a sensitivity of 99.5% and a specificity of 98%. 83% of the renal cell carcinomas showed signs of malignancy in computed tomography; the staging of the renal tumors by computed tomography was correct in 67% of the cases. The diagnostic value of other diagnostic tools (sonography, urography, angiography, cavography) of renal tumors is discussed in terms of our own results.

摘要

在我们通过计算机断层扫描检测出的220例肾肿瘤中,有168例肾细胞癌、24例肾盂肿瘤、16例血管平滑肌脂肪瘤、6例肾母细胞瘤、3例嗜酸细胞瘤、1例脂肪肉瘤、1例间叶性肿瘤和1例横纹肌肉瘤。计算机断层扫描在诊断方法中具有最高的准确性,敏感性为99.5%,特异性为98%。83%的肾细胞癌在计算机断层扫描中显示出恶性迹象;通过计算机断层扫描对肾肿瘤进行分期,67%的病例是正确的。根据我们自己的结果讨论了肾肿瘤的其他诊断工具(超声检查、尿路造影、血管造影、腔静脉造影)的诊断价值。

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