Varshavskiĭ S V, Martiushev A V, Fedina I D
Urol Nefrol (Mosk). 1996 Jul-Aug(4):36-9.
Prostatic cancer rates second among cancers occurring in males over fifty and occupies the third place among malignancies causing death. Early detection of this disease remains problematic. The authors analyze diagnostic value of NMR tomography in prostatic tumors. On NMR-tomograms prostatic cancer appears as a hypointensive focus in the peripheral prostatic zone characterized by defective intensity of the signals > 10 mm located in the craniodorsal part of the prostate. Other image characteristics are also described. NMR tomography is able of detecting metastatic involvement in the regional lymph collectors, bone destruction in the lumbosacral spine, pelvic bones. Differential diagnosis with other prostatic conditions is detailed. The results are confirmed morphologically and at target biopsies. The authors recommend to use NMR tomography in clinical manifestations of the tumor and negative histological findings.
前列腺癌发病率在50岁以上男性所患癌症中位居第二,在导致死亡的恶性肿瘤中位列第三。该疾病的早期检测仍然存在问题。作者分析了核磁共振断层扫描在前列腺肿瘤中的诊断价值。在核磁共振断层扫描图像上,前列腺癌表现为前列腺外周区的低信号灶,其特征是位于前列腺颅背侧部分信号强度有缺陷且大于10毫米。还描述了其他图像特征。核磁共振断层扫描能够检测区域淋巴结转移、腰骶椎和骨盆骨的骨质破坏。详细阐述了与其他前列腺疾病的鉴别诊断。结果通过形态学和靶向活检得到证实。作者建议在肿瘤临床表现及组织学检查结果为阴性时使用核磁共振断层扫描。