Tanomogi H, Ishii K, Masuda T, Yamamoto Y
Department of Urology, Kawasaki Municipal Hospital.
Hinyokika Kiyo. 1996 Dec;42(12):957-9.
A 64-year-old man with a right renal mass was referred to our hospital for further examination. The tumor demonstrated no dye enhancement of the computerized tomography (CT) scan. The tumor appeared as a low signal intensity image on the T1 weighted magnetic resonance imaging (MRI) and as a high signal intensity image on the T2 weighted MRI. Angiography revealed as hypovascular mass, however, the vessels in the tumor appeared on pharmacoangiography due to the absence of vasconstrictive response. A right radical nephrectomy was thus performed. The tumor was mostly necrotic and had a thick capsule. The histopathological findings indicated the tumor to be papillary adenocarcinoma.
一名64岁的男性因右肾肿物被转诊至我院做进一步检查。计算机断层扫描(CT)显示肿瘤无造影剂增强。在T1加权磁共振成像(MRI)上肿瘤表现为低信号强度影像,而在T2加权MRI上表现为高信号强度影像。血管造影显示为少血管性肿物,然而,由于缺乏血管收缩反应,肿瘤内血管在药物血管造影时显影。因此实施了右侧根治性肾切除术。肿瘤大部分坏死,有一层厚包膜。组织病理学检查结果显示该肿瘤为乳头状腺癌。