胰腺转移性肾透明细胞癌的CT表现.pdfVIP

.698. 中国临床医学影像杂志 2013 年第 24 卷第 10 期 J Chin Clin Med Imaging, 2013 , Vo 1.24 , No. 1O 膜腺转移性肾透明细胞癌的 CT 表现 李鲁，潘江峰 (浙江大学金华医院医学影像科，浙江金华 321000) [摘要I 目的:探讨膜腺转移性肾透明细胞癌的螺旋 CT 平扫和动态增强的表现及其特征。方法:对经术后病理证实的 5 例 膜腺转移性肾透明细胞癌的 CT 表现进行回顾性分析并文献复习。结果:5 例均为多发病灶，共 14 个病灶，CT 影像显示平扫呈 等或低密度，动脉期呈明显强化，门脉期及延迟期强化幅度下降明显，呈速升速降特征。结论:膜腺转移性肾透明细胞癌的 CT 多表现为多发病灶，动脉期明显强化，具有一定的特征性，结合病史及临床资料可以提高诊断的准确率。 [关键词] 肾肿瘤;膜腺肿瘤;体层摄影术，螺旋计算机 [中图分类号] R736.7; R737.11 ;R73-37; R814 .42 [文献标识码] A [文章编号] 1008-1062(2013)10-0698-03 CT manifestations in metastatic renal clear cell carcinoma of the pancreas Ll Lu, PA N Jiang价ng (Department 0/ MediC(ú 1m咱晤; Jinhua Hospit a1, Zhejiang University, Jinhua Zhejiang 321000, China) Abstract: Objective: To discuss the CT characteristics of pancreatic metastatic renal clear cell carcinoma by conventional spiral CT and dynamic enhanced CT examinations. Methods: CT manifestations in 5 cases of pancreatic metastatic clear cell renal cell carcinoma confirmed by postoperative pathology were analyzed retrospectively and literature review. Results: There were multiple lesions, a total of 14 lesions in the pancreas. CT image displayed the lesions to be iso- or hypo-density , which enhanced obviously in arterial phase , while the enhanced amplitude decreased significantly in portal venous and delayed phases , with a quick lift quick down characteristics. Conclusion: In pancreatic metastatic clear cell renal cell carcinoma, CT showed multiple lesions, obvious enhancement in arterial phase , and had certain characteristics , when combined with the histo- ηand clinical data, it can improve the diagnostic accuracy rate. Key words: Kidney neoplasms; Pancreatic neoplasms; Tomography , spiral computed 膜腺转移性肿瘤少见 约占膜腺恶性肿瘤的