腹膜后纤维化（副本）.pptVIP

Management option 活检 开腹活检、腹腔镜活检、影像引导下活检 肿瘤细胞分散于纤维块中----阴性不代表良性 消除病因是关键 皮质类固醇 免疫抑制剂 外科干预 并发症治疗 Outcome 良性预后好 恶性预后差：3-6个月 — * * * * * * * * * * * Fig. 12— * 52-year-old man with biopsy-proven idiopathic retroperitoneal fibrosis.A and B, Coronal fused PET/CT (A) and coronal PET (B) images show increased paraaortic uptake of 18F-FDG,consistent with active inflammation of retroperitoneal fibrosis (white arrows). Mild right-sided ureteral obstruction is also shown on PET image (B) (black arrow, B). C and D, Follow-up PET/CT (C) and coronal PET (D) images 2 months after immunotherapy show residual p